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1730289810
HEATH K. LISENBY
FORT WAYNE, IN
NPI
1730289810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39001625A)
Enumeration Date
2006-09-25
Last Update Date
2022-04-22
Business Address
Dr. HEATH K. LISENBY DMin., LMHC
6322 CONSTITUTION DR
FORT WAYNE, IN 46804-1518
Phone number: 260-203-0294
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Mailing Address
Dr. HEATH K. LISENBY DMin., LMHC
6322 CONSTITUTION DR
FORT WAYNE, IN 46804-1518
Phone number: 260-203-0294
Copy
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