AMY A ROSEN

MISHAWAKA, IN
NPI1467622514
Former NameAMY A FACKLAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39000938A)
Enumeration Date2008-03-05
Last Update Date2008-03-05
Business Address
-- AMY A ROSEN LMHC
1411 LINCOLNWAY W
MISHAWAKA, IN 46544-1626
Phone number: 574-533-1234
Mailing Address
-- AMY A ROSEN LMHC
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234
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