TABITHA A CARLSON

FORT WAYNE, IN
NPI1649423344
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IN  99034731A)
Enumeration Date2008-10-28
Last Update Date2008-10-28
Business Address
-- TABITHA A CARLSON PsyD
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
Mailing Address
-- TABITHA A CARLSON PsyD
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
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