DAVID DOUGLAS THAXTON

FORT WAYNE, IN
NPI1548499726
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2009-07-08
Last Update Date2009-07-08
Business Address
MR. DAVID DOUGLAS THAXTON
3010 E STATE BLVD
FORT WAYNE, IN 46805-4700
Phone number: 260-471-2300
Mailing Address
MR. DAVID DOUGLAS THAXTON
3010 E STATE BLVD
FORT WAYNE, IN 46805-4700
Phone number: 260-471-2300
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