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1073672937
CHARLOTTE ELLIOTT
FORT WAYNE, IN
NPI
1073672937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 34004693A)
Enumeration Date
2006-12-07
Last Update Date
2019-03-15
Business Address
Mrs. CHARLOTTE ELLIOTT LCSW
6334 CONSTITUTION DR
FORT WAYNE, IN 46804-1518
Phone number: 260-209-1209
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Mailing Address
Mrs. CHARLOTTE ELLIOTT LCSW
6334 CONSTITUTION DR STE 23
FORT WAYNE, IN 46804-1518
Phone number: 260-209-1209
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