Individual
KRISTINE HAWORTH CONNERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT,LSW
Contact information
Practice address
2712 S CALHOUN ST, FORT WAYNE, IN 46807-1402
(260) 744-4326
(260) 744-0188
Mailing address
2712 S CALHOUN ST, FORT WAYNE, IN 46807-1402
(260) 744-4326
(260) 744-0188
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33001557A
IN
106H00000X
Marriage & Family Therapist
35000747A
IN
Other
Enumeration date
02/06/2007
Last updated
09/11/2025
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