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1649480625
PAULA SHANE MARTIN
FORT WAYNE, IN
NPI
1649480625
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Other Name
PAULA S.CARUTHERS MARTIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39001302A)
Enumeration Date
2007-05-22
Last Update Date
2009-11-23
Business Address
Ms. PAULA SHANE MARTIN MS,LSW,LMHC
909 E STATE BLVD
FORT WAYNE, IN 46807-3513
Phone number: 260-481-2700
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Mailing Address
Ms. PAULA SHANE MARTIN MS,LSW,LMHC
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
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