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1215645551
GANIT ANNA GRAY
FORT WAYNE, IN
NPI
1215645551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34009974A)
Enumeration Date
2022-11-07
Last Update Date
2023-08-30
Business Address
Ms. GANIT ANNA GRAY LCSW
2700 LAFAYETTE ST
FORT WAYNE, IN 46806-1100
Phone number: 260-481-2770
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Mailing Address
Ms. GANIT ANNA GRAY LCSW
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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