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1144740986
PHILIP DAVID ERICHSEN
FORT WAYNE, IN
NPI
1144740986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-06-22
Last Update Date
2024-03-20
Business Address
Mr. PHILIP DAVID ERICHSEN MA
4150 ILLINOIS RD
FORT WAYNE, IN 46804-1208
Phone number: 877-594-9204
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Mailing Address
Mr. PHILIP DAVID ERICHSEN MA
4150 ILLINOIS RD
FORT WAYNE, IN 46804-1208
Phone number: 877-594-9024
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