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1194543777
BETH MCGOUGH
FORT WAYNE, IN
NPI
1194543777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: IN 1452767)
Enumeration Date
2024-10-01
Last Update Date
2024-10-01
Business Address
BETH MCGOUGH
1200 BARR ST
FORT WAYNE, IN 46802-3502
Phone number: 260-467-1078
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Mailing Address
BETH MCGOUGH
1200 BARR ST
FORT WAYNE, IN 46802-3502
Phone number: 260-467-1078
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