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1760840276
ANASTACIA BRUCE
FORT WAYNE, IN
NPI
1760840276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IN 35001899A)
Enumeration Date
2016-01-29
Last Update Date
2016-01-29
Business Address
-- ANASTACIA BRUCE LMFT
9426 LIMA RD
FORT WAYNE, IN 46818-8680
Phone number: 260-497-0328
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Mailing Address
-- ANASTACIA BRUCE LMFT
9426 LIMA RD
FORT WAYNE, IN 46818-8680
Phone number:
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