BEAU NORRIS

FORT WAYNE, IN
NPI1134799174
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: IN  33009691A)
Enumeration Date2021-07-01
Last Update Date2021-07-01
Business Address
BEAU NORRIS
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
BEAU NORRIS
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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