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1538210166
DEAN ULLRICH
FORT WAYNE, IN
NPI
1538210166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34000828A)
Enumeration Date
2007-01-12
Last Update Date
2011-12-30
Business Address
-- DEAN ULLRICH MSW
3174 MALLARD COVE LN
FORT WAYNE, IN 46804-2882
Phone number: 260-432-7510
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Mailing Address
-- DEAN ULLRICH MSW
3174 MALLARD COVE LN
FORT WAYNE, IN 46804-2882
Phone number: 260-432-7510
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