Individual
EVAN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1910 SAINT JOE CENTER RD, FORT WAYNE, IN 46825-5000
(260) 494-1624
Mailing address
1130 CHARLOTTE AVE, FORT WAYNE, IN 46805-2637
(765) 243-2184
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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