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1114703741
LISA ELAINE SELLS
FORT WAYNE, IN
NPI
1114703741
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Former Name
LISA ELAINE CHARLESWORTH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 880017954A)
Enumeration Date
2023-09-08
Last Update Date
2023-09-08
Business Address
LISA ELAINE SELLS LMHCA
12948 COLDWATER RD STE 101
FORT WAYNE, IN 46845-8016
Phone number: 260-373-0880
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Mailing Address
LISA ELAINE SELLS LMHCA
12948 COLDWATER RD STE 101
FORT WAYNE, IN 46845-8016
Phone number: 260-373-0880
Copy
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