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1831849215
COURTNEY DAVIS
FORT WAYNE, IN
NPI
1831849215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-03-28
Last Update Date
2022-03-28
Business Address
COURTNEY DAVIS
9317 MADINA PKWY
FORT WAYNE, IN 46825-1134
Phone number: 260-580-1996
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Mailing Address
COURTNEY DAVIS
429 E DUPONT RD # 97
FORT WAYNE, IN 46825-2051
Phone number: 260-580-1996
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