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1245556752
JEANINE KING CHILDS
FORT WAYNE, IN
NPI
1245556752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39001262A)
Enumeration Date
2010-04-09
Last Update Date
2018-02-19
Business Address
JEANINE KING CHILDS PhD LMHC
4656 W JEFFERSON BLVD STE 285
FORT WAYNE, IN 46804-6838
Phone number: 260-422-9372
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Mailing Address
JEANINE KING CHILDS PhD LMHC
4656 W JEFFERSON BLVD STE 285
FORT WAYNE, IN 46804-6838
Phone number: 260-422-9372
Copy
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