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1083709554
TYSON RAE FLORA
FORT WAYNE, IN
NPI
1083709554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39001576A)
Enumeration Date
2006-10-03
Last Update Date
2009-06-10
Business Address
-- TYSON RAE FLORA MA LMHC
6202 CONSTITUTION DR STE D
FORT WAYNE, IN 46804-1583
Phone number: 260-432-0066
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Mailing Address
-- TYSON RAE FLORA MA LMHC
6202 CONSTITUTION DR STE D LIFEWORKS COUNSELING & CONSULTING, INC.
FORT WAYNE, IN 46804-1583
Phone number: 260-432-0066
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