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1639428931
MARGARET SUSAN WALLACE
FORT WAYNE, IN
NPI
1639428931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39002298A)
Enumeration Date
2012-08-31
Last Update Date
2012-08-31
Business Address
-- MARGARET SUSAN WALLACE
6315 MUTUAL DR SUITE B
FORT WAYNE, IN 46825-4238
Phone number: 260-409-8188
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Mailing Address
-- MARGARET SUSAN WALLACE
10214 CHESTNUT PLAZA DR #130
FORT WAYNE, IN 46814-8970
Phone number: 260-409-8188
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