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1326553546
CARLY LANTZ
GOSHEN, IN
NPI
1326553546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34008818A)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2017-12-11
Last Update Date
2022-10-04
Business Address
CARLY LANTZ MSW
313 S 3RD ST
GOSHEN, IN 46526-3709
Phone number: 574-538-7960
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Mailing Address
CARLY LANTZ MSW
330 LAKEVIEW DR
GOSHEN, IN 46528-9365
Phone number: 574-533-1234
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