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1164283552
ELIZABETH FENIMORE
FORT WAYNE, IN
NPI
1164283552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34010697A)
Enumeration Date
2024-01-22
Last Update Date
2024-01-22
Business Address
ELIZABETH FENIMORE LCSW
1518 TILDEN AVE
FORT WAYNE, IN 46805-5247
Phone number: 260-530-6576
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Mailing Address
ELIZABETH FENIMORE LCSW
1518 TILDEN AVE
FORT WAYNE, IN 46805-5247
Phone number: 260-530-6576
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