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1073256095
MARYELLEN WEIGAND
FORT WAYNE, IN
NPI
1073256095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 35002212A)
Enumeration Date
2022-04-18
Last Update Date
2022-04-18
Business Address
MARYELLEN WEIGAND LMFT
6157 STONEY CREEK DR
FORT WAYNE, IN 46825-4409
Phone number: 260-570-4515
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Mailing Address
MARYELLEN WEIGAND LMFT
6157 STONEY CREEK DR
FORT WAYNE, IN 46825-4409
Phone number: 260-570-4515
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