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1225567480
AMANDA JO GONZALEZ
FORT WAYNE, IN
NPI
1225567480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34007818A)
Enumeration Date
2017-06-09
Last Update Date
2017-06-09
Business Address
Ms. AMANDA JO GONZALEZ LCSW
230 W MAIN ST
FORT WAYNE, IN 46802-1612
Phone number: 260-203-9185
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Mailing Address
Ms. AMANDA JO GONZALEZ LCSW
126 W COLUMBIA ST
FORT WAYNE, IN 46802-1719
Phone number: 260-203-9185
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