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Organization
SUSAN TIELKER-SHARPE COUNSELING, LLC
Active
Organization
SUSAN TIELKER-SHARPE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN MARIE TIELKER-SHARPE LCSW LMFT (THERAPIST/COUNSELOR)
(260) 422-9372
Entity
Organization
Contact information
Practice address
4656 W JEFFERSON BLVD, SUITE 285, FORT WAYNE, IN 46804-6857
(260) 422-9372
(260) 422-0843
Mailing address
4656 W JEFFERSON BLVD, SUITE 285, FORT WAYNE, IN 46804-6857
(260) 422-9372
(260) 422-0843
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
05/09/2013
Last updated
05/23/2013
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