WAYNE PETERSON STEPHAN

FORT WAYNE, IN
NPI1427289610
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39004844A)
Enumeration Date2009-08-05
Last Update Date2024-02-21
Business Address
WAYNE PETERSON STEPHAN LMHC
10016 MONTICELLO BLVD
FORT WAYNE, IN 46825-2193
Phone number: 260-388-3765
Mailing Address
WAYNE PETERSON STEPHAN LMHC
10016 MONTICELLO BLVD
FORT WAYNE, IN 46825-2193
Phone number: 260-388-3765
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