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1629189345
CAROLYN RICHESON
FORT WAYNE, IN
NPI
1629189345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IN 34003654A)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Mrs. CAROLYN RICHESON MSW LCSW ACSW
2121 LAKE AVE VA NORTHERN INDIANA
FORT WAYNE, IN 46808
Phone number: 260-426-5431
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Mailing Address
Mrs. CAROLYN RICHESON MSW LCSW ACSW
2121 LAKE AVE
FORT WAYNE, IN 46805
Phone number: 260-426-5431
Copy
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