CARL RICHARD COSLOW

FORT WAYNE, IN
NPI1861421620
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34000209A)
Enumeration Date2006-07-02
Last Update Date2008-12-02
Business Address
Mr. CARL RICHARD COSLOW
4656 W JEFFERSON BLVD STE 285
FORT WAYNE, IN 46804
Phone number: 260-422-9372
Mailing Address
Mr. CARL RICHARD COSLOW
4656 W JEFFERSON BLVD STE 285
FORT WAYNE, IN 46804
Phone number: 260-422-9372