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1114945318
RITA A. WYNN
FORT WAYNE, IN
NPI
1114945318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34000927A)
Enumeration Date
2006-07-17
Last Update Date
2007-07-08
Business Address
-- RITA A. WYNN LCSW
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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Mailing Address
-- RITA A. WYNN LCSW
3009 CARROLL RD
FORT WAYNE, IN 46818-9513
Phone number: 260-637-6670
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