MALLORY LEATHERMAN 062519

FORT WAYNE, IN
NPI1659932069
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-06-26
Last Update Date2019-06-26
Business Address
MALLORY LEATHERMAN 062519
3900 HURSH RD
FORT WAYNE, IN 46845-9677
Phone number: 260-637-3608
Mailing Address
MALLORY LEATHERMAN 062519
8515 BLUFFTON RD
FORT WAYNE, IN 46809-3022
Phone number:
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