ELIZABETH RENEE PATRICK

FORT WAYNE, IN
NPI1104070812
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  22003502A)
Enumeration Date2008-11-07
Last Update Date2008-11-07
Business Address
-- ELIZABETH RENEE PATRICK MA CCC-SLP
10110 AGORA PL
FORT WAYNE, IN 46804-8710
Phone number: 260-436-8591
Mailing Address
-- ELIZABETH RENEE PATRICK MA CCC-SLP
10110 AGORA PL
FORT WAYNE, IN 46804-8710
Phone number: 260-436-8591
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