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1366920167
STEVEN W PRATER
FORT WAYNE, IN
NPI
1366920167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.018327)
Enumeration Date
2018-08-02
Last Update Date
2018-08-02
Business Address
STEVEN W PRATER LCSW
2121 LAKE AVENUE
FORT WAYNE, IN 46845
Phone number: 260-426-5431
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Mailing Address
STEVEN W PRATER LCSW
2121 LAKE AVENUE
FORT WAYNE, IN 46845
Phone number:
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