Individual
RICHELE GROENEWEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6202 CONSTITUTION DR, SUITE D, FORT WAYNE, IN 46804-1583
(260) 432-0066
Mailing address
6202 CONSTITUTION DR, SUITE D, FORT WAYNE, IN 46804-1583
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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