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1902802887
SHELLY J EDWARDS
FORT WAYNE, IN
NPI
1902802887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IN 35001533A)
Enumeration Date
2005-06-24
Last Update Date
2007-07-08
Business Address
-- SHELLY J EDWARDS LMFT
2100 GOSHEN RD
FORT WAYNE, IN 46808-1493
Phone number: 260-471-3500
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Mailing Address
-- SHELLY J EDWARDS LMFT
2100 GOSHEN RD
FORT WAYNE, IN 46808-1493
Phone number: 260-471-3500
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