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1124790928
LISA ELLEN STONEBRAKER
CROWN POINT, IN
NPI
1124790928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34008476A)
Enumeration Date
2021-09-30
Last Update Date
2021-09-30
Business Address
LISA ELLEN STONEBRAKER LCSW
2100 N MAIN ST STE 304
CROWN POINT, IN 46307-1877
Phone number: 574-546-1900
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Mailing Address
LISA ELLEN STONEBRAKER LCSW
PO BOX 10299
FORT WAYNE, IN 46851-0299
Phone number: 574-546-1999
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