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1790329068
FARAH A ALI
MISHAWAKA, IN
NPI
1790329068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: TX 105935)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2019-10-30
Last Update Date
2024-02-13
Business Address
FARAH A ALI MSW
1411 LINCOLNWAY W
MISHAWAKA, IN 46544-1626
Phone number: 574-533-1234
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Mailing Address
FARAH A ALI MSW
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234
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