DEAN ULLRICH

FORT WAYNE, IN
NPI1538210166
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34000828A)
Enumeration Date2007-01-12
Last Update Date2011-12-30
Business Address
-- DEAN ULLRICH MSW
3174 MALLARD COVE LN
FORT WAYNE, IN 46804-2882
Phone number: 260-432-7510
Mailing Address
-- DEAN ULLRICH MSW
3174 MALLARD COVE LN
FORT WAYNE, IN 46804-2882
Phone number: 260-432-7510