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1801378575
KIMBRA L. O'BRIEN
FORT WAYNE, IN
NPI
1801378575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN 870001674A)
Enumeration Date
2018-08-30
Last Update Date
2018-08-30
Business Address
KIMBRA L. O'BRIEN LCAC
1417 N ANTHONY BLVD
FORT WAYNE, IN 46805-5252
Phone number: 260-424-5814
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Mailing Address
KIMBRA L. O'BRIEN LCAC
1417 N ANTHONY BLVD
FORT WAYNE, IN 46805-5252
Phone number: 260-424-5814
Copy
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