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1154933216
THADDEUS JAMES BAY
FORT WAYNE, IN
NPI
1154933216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34008897A)
Enumeration Date
2020-08-20
Last Update Date
2023-07-28
Business Address
Mr. THADDEUS JAMES BAY LCSW
10331 DAWSONS CREEK BLVD STE D
FORT WAYNE, IN 46825-1908
Phone number: 260-525-5807
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Mailing Address
Mr. THADDEUS JAMES BAY LCSW
10331 DAWSONS CREEK BLVD STE D
FORT WAYNE, IN 46825-1908
Phone number: 260-525-5807
Copy
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