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1356803936
BLACKBIRD COUNSELING, LLC
FORT WAYNE, IN
NPI
1356803936
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Entity Type
Organization
Authorized Contact
VICTORIA PROKOP
Therapist/Owner
260-627-9158
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-04-03
Last Update Date
2022-10-13
Business Address
BLACKBIRD COUNSELING, LLC
4646 W JEFFERSON BLVD STE 250
FORT WAYNE, IN 46804-6832
Phone number: 260-627-9158
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Mailing Address
BLACKBIRD COUNSELING, LLC
4646 W JEFFERSON BLVD STE 250
FORT WAYNE, IN 46804-6832
Phone number: 260-627-9158
Copy
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