Individual
BETH GULINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2423 FAIRFIELD AVE, FORT WAYNE, IN 46807-1210
(260) 438-4029
(260) 745-0734
Mailing address
2423 FAIRFIELD AVE, FORT WAYNE, IN 46807-1210
(260) 438-4029
(260) 745-9431
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006829A
IN
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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