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Organization
BURRY AND SMITH COUNSELING SERVICES INC.
Active
Organization
BURRY AND SMITH COUNSELING SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM MARIE SMITH M. S.,LCSW,LMFC (PRESIDENT)
(260) 436-5986
Entity
Organization
Contact information
Practice address
3266 MALLARD COVE LN, FORT WAYNE, IN 46804-2883
(260) 436-5986
(260) 436-5986
Mailing address
3266 MALLARD COVE LN, FORT WAYNE, IN 46804-2883
(260) 436-5986
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34002738A
IN
Other
Enumeration date
07/16/2006
Last updated
08/22/2020
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