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1487983037
CHARLES PHILIP REDWINE
FORT WAYNE, IN
NPI
1487983037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IN 35000968A)
Enumeration Date
2009-12-10
Last Update Date
2015-10-05
Business Address
-- CHARLES PHILIP REDWINE LMFT, LAC
126 W COLUMBIA ST SUITE 300
FORT WAYNE, IN 46802-1719
Phone number: 260-203-9185
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Mailing Address
-- CHARLES PHILIP REDWINE LMFT, LAC
126 W COLUMBIA ST SUITE 300
FORT WAYNE, IN 46802-1719
Phone number: 260-203-9185
Copy
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