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Individual

ROZI P WAX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
113 LINCOLN WAY EAST, MISHAWAKA, IN 46544-2016
(574) 255-4976
(574) 255-1882
Mailing address
113 LINCOLN WAY EAST, MISHAWAKA, IN 46544-2016
(574) 255-4976
(574) 255-1882

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001347A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000341229
ANTHEM
IN
05
200475040
IN
01
7628748
AETNA
IN
01
795208000
MAGELLAN
IN
Enumeration date
11/13/2006
Last updated
01/24/2020
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