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1619953692
AMY NITZA
FORT WAYNE, IN
NPI
1619953692
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Other Name
AMY GIBSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39001630A)
Enumeration Date
2005-12-21
Last Update Date
2007-07-08
Business Address
-- AMY NITZA Ph.D
723 FULTON ST
FORT WAYNE, IN 46802-1403
Phone number: 260-969-0915
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Mailing Address
-- AMY NITZA Ph.D
723 FULTON ST
FORT WAYNE, IN 46802-1403
Phone number: 260-969-0915
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