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1114137080
CANDACE LOUISE MARTIN
FORT WAYNE, IN
NPI
1114137080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: IN 20040983A)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
Dr. CANDACE LOUISE MARTIN Psy.D.
6319 CONSTITUTION DR
FORT WAYNE, IN 46804-1547
Phone number: 260-432-4346
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Mailing Address
Dr. CANDACE LOUISE MARTIN Psy.D.
6319 CONSTITUTION DR
FORT WAYNE, IN 46804-1547
Phone number: 260-432-4346
Copy
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