Individual
DR. CARL WAYNE SOVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5736 COVENTRY LN, FT WAYNE, IN 46804
(260) 436-4119
Mailing address
5736 COVENTRY LN, FT WAYNE, IN 46804
(260) 436-4119
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001103
IN
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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