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1811533128
TRACY C MARSHALL-JOHNSON
FORT WAYNE, IN
NPI
1811533128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 88001119A)
Enumeration Date
2019-11-21
Last Update Date
2022-03-02
Business Address
TRACY C MARSHALL-JOHNSON
1027 W RUDISILL BLVD STE 207
FORT WAYNE, IN 46807-2160
Phone number: 260-444-7200
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Mailing Address
TRACY C MARSHALL-JOHNSON
1027 W RUDISILL BLVD STE 207
FORT WAYNE, IN 46807-2160
Phone number: 260-444-7200
Copy
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