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FORT WAYNE, IN
NPI1114893229
Entity TypeOrganization
Authorized ContactTAYLOR R NIESE
Owner
419-890-5500
Organization Subpart ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2025-10-15
Last Update Date2025-10-15
Business Address
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6359 CONSTITUTION DR
FORT WAYNE, IN 46804-1547
Phone number: 419-890-5500
Mailing Address
PATH FORWARD THERAPY
6359 CONSTITUTION DR
FORT WAYNE, IN 46804-1547
Phone number: 419-890-5500
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