institution
Mary Rose Lcsw, Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Wayne, Indiana
NPI 1083399869

Mary Rose Lcsw, Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Fort Wayne, IN and is specialized in Mental Health (Including Community Mental Health Center). Mary Rose Lcsw, Llc practices in Fort Wayne, IN. The NPI Number for Mary Rose Lcsw, Llc is 1083399869 and holds a License No. (Indiana).

The current practice location address for Mary Rose Lcsw, Llc is 405 Airport North Office Park, Fort Wayne, IN and can be reached out via phone at 260-623-0054.

Location: 405 Airport North Office Park, Fort Wayne, IN, 46804-1458
institution
Provider Profile Details
NPI Number
1083399869
Provider Name
Mary Rose Lcsw, Llc
Credential
Provider Entity Type
Organization
Address
405 Airport North Office Park, Fort Wayne, IN, 46804-1458
Phone Number
260-623-0054
Fax Number
Provider Enumeration Date
06/19/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
405 Airport North Office Park
City
State
Zip
46825-6704
Phone Number
260-623-0054
Fax Number
person
Provider Business Mailing Address Details
Address
405 Airport North Office Park
City
State
Zip
46825-6704
Phone Number
260-623-0054
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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