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1447891312
KELLY L HOOVER
FORT WAYNE, IN
NPI
1447891312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IN 20043293B)
Enumeration Date
2019-10-02
Last Update Date
2019-10-02
Business Address
KELLY L HOOVER Ph.D., HSPP
4306 E STATE BLVD
FORT WAYNE, IN 46815-6915
Phone number: 260-460-3203
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Mailing Address
KELLY L HOOVER Ph.D., HSPP
4306 E STATE BLVD
FORT WAYNE, IN 46815-6915
Phone number: 260-460-3203
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