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1689940942
KIMBERLY D FAROUKI
FORT WAYNE, IN
NPI
1689940942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34006395A)
Enumeration Date
2012-03-30
Last Update Date
2019-01-22
Business Address
KIMBERLY D FAROUKI LCSW
3512 STELLHORN RD
FORT WAYNE, IN 46815
Phone number: 260-483-9081
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Mailing Address
KIMBERLY D FAROUKI LCSW
PO BOX 392552
PITTSBURGH, PA 15251-9550
Phone number: 512-575-8028
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