Individual
LOWLETA DENISE THOMPSON-KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 E STATE BLVD, FORT WAYNE, IN 46805-3458
(260) 481-2700
Mailing address
909 E STATE BLVD, FORT WAYNE, IN 46805-3458
(260) 481-2700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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