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1417083486
DEBORAH MCCULLOCH
FORT WAYNE, IN
NPI
1417083486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IN 340003504)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
Mrs. DEBORAH MCCULLOCH LCSW
3737 LAKE AVE
FORT WAYNE, IN 46805-5554
Phone number: 260-422-1680
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Mailing Address
Mrs. DEBORAH MCCULLOCH LCSW
11232 BITTERSWEET CREEK RUN
FORT WAYNE, IN 46814-3286
Phone number: 260-436-8053
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