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1689255721
SARAH STACEY ALTIZER
FORT WAYNE, IN
NPI
1689255721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34008820A)
Enumeration Date
2021-04-20
Last Update Date
2021-04-20
Business Address
SARAH STACEY ALTIZER LCSW
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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Mailing Address
SARAH STACEY ALTIZER LCSW
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Copy
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