PHYLLIS E SCHREINER-TATA

FORT WAYNE, IN
NPI1760952535
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  87001594A)
Enumeration Date2018-12-04
Last Update Date2021-09-11
Business Address
PHYLLIS E SCHREINER-TATA LCAC
6201 CONSTITUTION DR
FORT WAYNE, IN 46804-1517
Phone number: 260-494-1142
Mailing Address
PHYLLIS E SCHREINER-TATA LCAC
4211 KNIGHTWAY DR
FORT WAYNE, IN 46815-5033
Phone number: 260-433-9899
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