KYLE DAWALT

FORT WAYNE, IN
NPI1942932843
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies251S00000X Community/Behavioral Health
Enumeration Date2022-06-29
Last Update Date2022-07-01
Business Address
KYLE DAWALT
11324 CRESSKILL CT
FORT WAYNE, IN 46845-2008
Phone number: 574-551-6673
Mailing Address
KYLE DAWALT
11324 CRESSKILL CT
FORT WAYNE, IN 46845-2008
Phone number:
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