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1407001555
TARA L DEGUNYA
FORT WAYNE, IN
NPI
1407001555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39002154A)
Enumeration Date
2008-11-17
Last Update Date
2013-04-09
Business Address
-- TARA L DEGUNYA MS Ed, LMHC
4839 BUELL DR
FORT WAYNE, IN 46807-3201
Phone number: 260-341-6259
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Mailing Address
-- TARA L DEGUNYA MS Ed, LMHC
4839 BUELL DR
FORT WAYNE, IN 46807-3201
Phone number: 260-341-6259
Copy
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