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1912208745
LEZLY A SCOTT
FORT WAYNE, IN
NPI
1912208745
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Former Name
LEZLY AMY REEVES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-11-10
Last Update Date
2015-05-29
Business Address
-- LEZLY A SCOTT MA
2417 FAIRFIELD AVE. ATTN: LEZLY SCOTT
FORT WAYNE, IN 46807
Phone number: 260-424-7977
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Mailing Address
-- LEZLY A SCOTT MA
2417 FAIRFIELD AVE ATTN: LEZLY SCOTT
FORT WAYNE, IN 46807-1210
Phone number: 260-424-7977
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