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1053687145
HEATHER L JOHNSTON
FORT WAYNE, IN
NPI
1053687145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34004652A)
Enumeration Date
2012-03-22
Last Update Date
2015-09-01
Business Address
-- HEATHER L JOHNSTON MSW
2420 N COLISEUM BLVD SUITE 201
FORT WAYNE, IN 46805-3139
Phone number: 260-498-8009
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Mailing Address
-- HEATHER L JOHNSTON MSW
2420 N COLISEUM BLVD SUITE 201
FORT WAYNE, IN 46805-3139
Phone number: 260-498-8009
Copy
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