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1467622514
AMY A ROSEN
MISHAWAKA, IN
NPI
1467622514
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Former Name
AMY A FACKLAM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: IN 39000938A)
Enumeration Date
2008-03-05
Last Update Date
2008-03-05
Business Address
AMY A ROSEN LMHC
1411 LINCOLNWAY W
MISHAWAKA, IN 46544-1626
Phone number: 574-533-1234
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Mailing Address
AMY A ROSEN LMHC
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234
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