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1881203560
TIMOTHY JAMES PRENTICE
FORT WAYNE, IN
NPI
1881203560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2020-07-28
Last Update Date
2020-07-28
Business Address
TIMOTHY JAMES PRENTICE MA, LMHC-A
909 E STATE BLVD
FORT WAYNE, IN 46805-3458
Phone number: 260-481-2700
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Mailing Address
TIMOTHY JAMES PRENTICE MA, LMHC-A
909 E STATE BLVD
FORT WAYNE, IN 46805-3458
Phone number: 260-482-9125
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