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1265490650
INA S. CARLSON
FORT WAYNE, IN
NPI
1265490650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IN 20090244A)
Enumeration Date
2006-05-03
Last Update Date
2022-10-17
Business Address
INA S. CARLSON Ph.D., HSPP
1909 CAREW ST
FORT WAYNE, IN 46805-4707
Phone number: 260-481-2800
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Mailing Address
INA S. CARLSON Ph.D., HSPP
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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