KIM MAXWELL FISH

FORT WAYNE, IN
NPI1093869133
Other NameKIM S FISH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34004143A)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: OH  I 0800371)
101YM0800X Counselor, Mental Health
(Licence: IN  39000977A)
Enumeration Date2007-01-23
Last Update Date2011-02-25
Business Address
Mrs. KIM MAXWELL FISH LCSW, LMHC
3948 NEW VISION DR STE D
FORT WAYNE, IN 46845-1721
Phone number: 260-407-7285
Mailing Address
Mrs. KIM MAXWELL FISH LCSW, LMHC
4903 COVENTRY PKWY
FORT WAYNE, IN 46804-7133
Phone number: 419-559-6370