JERE W LEIB

FORT WAYNE, IN
NPI1457350506
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IN  20010181)
Enumeration Date2005-07-20
Last Update Date2008-08-12
Business Address
Mr. JERE W LEIB Ph.D.
3421 E STATE BLVD
FORT WAYNE, IN 46805-4830
Phone number: 260-482-8427
Mailing Address
Mr. JERE W LEIB Ph.D.
3421 E STATE BLVD
FORT WAYNE, IN 46805-4830
Phone number: 260-482-8427
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