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1073347407
KATIE ANN SHULL
FORT WAYNE, IN
NPI
1073347407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 88002538A)
Enumeration Date
2024-08-28
Last Update Date
2024-08-28
Business Address
Mrs. KATIE ANN SHULL LCMHA
4630 W JEFFERSON BLVD STE 3
FORT WAYNE, IN 46804-6800
Phone number: 260-632-2131
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Mailing Address
Mrs. KATIE ANN SHULL LCMHA
5709 N STATE ROAD 101
WOODBURN, IN 46797-9655
Phone number: 260-257-0016
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