MIRANDA ELLEN RENEE KOLDE

FORT WAYNE, IN
NPI1477066538
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: IN  34008801A)
Enumeration Date2017-11-13
Last Update Date2022-12-06
Business Address
MIRANDA ELLEN RENEE KOLDE MSW
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
Mailing Address
MIRANDA ELLEN RENEE KOLDE MSW
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: