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1235862871
BRIAN MOCKENHAUPT
FORT WAYNE, IN
NPI
1235862871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-07-01
Last Update Date
2022-07-01
Business Address
BRIAN MOCKENHAUPT
2200 LAKE AVE STE 260
FORT WAYNE, IN 46805-5351
Phone number: 260-424-0411
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Mailing Address
BRIAN MOCKENHAUPT
2016 PEMBERTON DR
FORT WAYNE, IN 46805-4626
Phone number: 315-778-0067
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