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1801339072
IDA MARIE DEPREE
FORT WAYNE, IN
NPI
1801339072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-11-21
Last Update Date
2016-11-21
Business Address
-- IDA MARIE DEPREE MAMFT
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-482-9125
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Mailing Address
-- IDA MARIE DEPREE MAMFT
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-482-9125
Copy
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