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1619360898
JODIE HIVELY
FORT WAYNE, IN
NPI
1619360898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 85000194A)
Enumeration Date
2015-03-11
Last Update Date
2015-03-11
Business Address
-- JODIE HIVELY MSed., LMFTA
3842 NEW VISION DR
FORT WAYNE, IN 46845-1708
Phone number: 260-471-2300
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Mailing Address
-- JODIE HIVELY MSed., LMFTA
3842 NEW VISION DR
FORT WAYNE, IN 46845-1708
Phone number: 260-471-2300
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