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NPI Code Detail

MEDICARE: MARY ARNOLD AMI SCHWARTZ

MEDICARE: MARY ARNOLD AMI SCHWARTZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1700305117
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ARNOLD AMI SCHWARTZ
Provider Business Mailing Address
First Line : 909 E STATE BLVD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-3404
Country : US
Telephone Number : 260-482-9125
Fax Number :
Provider Business Practice Location Address
First Line : 1909 CAREW ST
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-4707
Country : US
Telephone Number : 260-482-9125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2017
Last Update Date : 09/18/2017

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Directions to “ MARY ARNOLD AMI SCHWARTZ ” Practice Location

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