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1134630387
CATHERINE SALLAZ
FORT WAYNE, IN
NPI
1134630387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39002872A)
Enumeration Date
2017-10-16
Last Update Date
2020-12-30
Business Address
CATHERINE SALLAZ MHC
3120 MALLARD COVE LN
FORT WAYNE, IN 46804-2882
Phone number: 260-459-6095
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Mailing Address
CATHERINE SALLAZ MHC
3120 MALLARD COVE LN
FORT WAYNE, IN 46804-2882
Phone number: 260-459-6095
Copy
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