DAVID A KININGHAM

FORT WAYNE, IN
NPI1215025853
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39001795A)
Enumeration Date2006-10-10
Last Update Date2020-02-21
Business Address
DAVID A KININGHAM M.ED
6334 CONSTITUTION DR.
FORT WAYNE, IN 46804-4680
Phone number: 260-260-1209
Mailing Address
DAVID A KININGHAM M.ED
6334 CONSTITUTION DR
FORT WAYNE, IN 46804-1518
Phone number: 260-209-1209
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