RANDALL J. RIDER

FORT WAYNE, IN
NPI1982737722
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: IN  35000981A)
Enumeration Date2007-03-13
Last Update Date2007-07-08
Business Address
-- RANDALL J. RIDER MS, LSW, LMFT
4235 FLAGSTAFF COVE
FORT WAYNE, IN 46815-4418
Phone number: 260-969-6600
Mailing Address
-- RANDALL J. RIDER MS, LSW, LMFT
3535 MAXIM DR
FORT WAYNE, IN 46815-6130
Phone number: 260-312-0904
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