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1780275578
CARRIE GUILLAUME
FORT WAYNE, IN
NPI
1780275578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22002491A)
Enumeration Date
2021-02-03
Last Update Date
2021-02-03
Business Address
CARRIE GUILLAUME MA CCCSLP
2927 LAKE AVE
FORT WAYNE, IN 46805-5415
Phone number: 260-452-4062
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Mailing Address
CARRIE GUILLAUME MA CCCSLP
1319 SHIRAZ CT
FORT WAYNE, IN 46845-9052
Phone number: 260-452-4062
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