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1396057626
GRETA LAVON MCKINNEY
FORT WAYNE, IN
NPI
1396057626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-07-01
Last Update Date
2010-07-01
Business Address
-- GRETA LAVON MCKINNEY
315 AIRPORT NORTH OFFICE PARK
FORT WAYNE, IN 46825-6703
Phone number: 260-490-8352
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Mailing Address
-- GRETA LAVON MCKINNEY
1337 HAYDEN ST
FORT WAYNE, IN 46803-2043
Phone number: 260-348-0794
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