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1548015712
THE MENTAL HEALTH CLINIC LLC
FORT WAYNE, IN
NPI
1548015712
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Entity Type
Organization
Authorized Contact
SAMANTHA RICHARD
Owner
260-444-9128
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-04-22
Last Update Date
2024-04-22
Business Address
THE MENTAL HEALTH CLINIC LLC
5673 SOUTH WAYNE AVE
FORT WAYNE, IN 46807
Phone number: 844-322-2114
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Mailing Address
THE MENTAL HEALTH CLINIC LLC
5673 SOUTH WAYNE AVE
FORT WAYNE, IN 46807
Phone number: 844-322-2114
Copy
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