LANETTE L FRAVEL

FORT WAYNE, IN
NPI1497527253
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QM0855X Clinic/Center, Adolescent and Children Mental Health
Enumeration Date2023-10-25
Last Update Date2023-10-25
Business Address
LANETTE L FRAVEL MA
6913 BLAKE DR
FORT WAYNE, IN 46804-1013
Phone number: 260-223-2942
Mailing Address
LANETTE L FRAVEL MA
6913 BLAKE DR
FORT WAYNE, IN 46804-1013
Phone number: 260-223-2942