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1851309876
MARY A LAROCQUE
FORT WAYNE, IN
NPI
1851309876
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Former Name
MARY A KLINEDORF
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34001252A)
Enumeration Date
2006-08-04
Last Update Date
2022-09-19
Business Address
Ms. MARY A LAROCQUE MSW LCSW
7806 W JEFFERSON BLVD STE C
FORT WAYNE, IN 46804-4180
Phone number: 260-203-4188
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Mailing Address
Ms. MARY A LAROCQUE MSW LCSW
7311A W JEFFERSON BLVD
FORT WAYNE, IN 46804-6237
Phone number: 260-471-8033
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