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1073738852
THEODORE (TED) JAMES WEIMERSKIRCH
FORT WAYNE, IN
NPI
1073738852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34000187A)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
Mr. THEODORE (TED) JAMES WEIMERSKIRCH LCSW
13407 BRISTOL TRL
FORT WAYNE, IN 46845-9196
Phone number: 260-637-6905
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Mailing Address
Mr. THEODORE (TED) JAMES WEIMERSKIRCH LCSW
13407 BRISTOL TRL
FORT WAYNE, IN 46845-9196
Phone number: 260-637-6905
Copy
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