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1144322777
TAMARA L VANBAALEN
FORT WAYNE, IN
NPI
1144322777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34003564A)
Enumeration Date
2006-09-03
Last Update Date
2021-11-16
Business Address
Ms. TAMARA L VANBAALEN LCSW
5693 YMCA PARK DR W
FORT WAYNE, IN 46835-3280
Phone number: 260-425-6500
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Mailing Address
Ms. TAMARA L VANBAALEN LCSW
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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