SHANE MILES SWOVERLAND

FORT WAYNE, IN
NPI1952931594
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34008679A)
Enumeration Date2020-01-23
Last Update Date2020-01-23
Business Address
SHANE MILES SWOVERLAND LCSW
2500 E STATE BLVD
FORT WAYNE, IN 46805-4728
Phone number: 260-426-5431
Mailing Address
SHANE MILES SWOVERLAND LCSW
2500 E STATE BLVD
FORT WAYNE, IN 46805-4728
Phone number: 260-426-5431
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