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1568838613
DIANA LIGHTFOOT
FORT WAYNE, IN
NPI
1568838613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34007781A)
Enumeration Date
2015-08-12
Last Update Date
2017-03-27
Business Address
-- DIANA LIGHTFOOT LCSW
2200 LAKE AVE SUITE 225
FORT WAYNE, IN 46805-5397
Phone number: 260-726-9348
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Mailing Address
-- DIANA LIGHTFOOT LCSW
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
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