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1558493056
KIM MARIE SMITH
FORT WAYNE, IN
NPI
1558493056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 34002738A)
Enumeration Date
2007-03-10
Last Update Date
2007-07-08
Business Address
Mrs. KIM MARIE SMITH LCSW, LMFT
3266 MALLARD COVE LN
FORT WAYNE, IN 46804-2883
Phone number: 260-436-5986
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Mailing Address
Mrs. KIM MARIE SMITH LCSW, LMFT
3266 MALLARD COVE LN
FORT WAYNE, IN 46804-2883
Phone number: 260-436-5986
Copy
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