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1235776386
ALICIA K HERMAN
FORT WAYNE, IN
NPI
1235776386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34008029A)
Enumeration Date
2019-12-09
Last Update Date
2019-12-09
Business Address
ALICIA K HERMAN LCSW
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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Mailing Address
ALICIA K HERMAN LCSW
5216 BLUFFSIDE AVE
FORT WAYNE, IN 46835-2305
Phone number: 260-312-4012
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