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1508649070
ANDREA CLARK
FORT WAYNE, IN
NPI
1508649070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-08-17
Last Update Date
2023-08-17
Business Address
ANDREA CLARK
4656 W JEFFERSON BLVD STE 285
FORT WAYNE, IN 46804-6838
Phone number: 260-422-9372
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Mailing Address
ANDREA CLARK
4656 W JEFFERSON BLVD STE 285
FORT WAYNE, IN 46804-6838
Phone number:
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