Individual
MRS. MANDY LYNN LENGERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
10315 DAWSONS CREEK BLVD STE E, FORT WAYNE, IN 46825-1912
(260) 387-6340
Mailing address
10315 DAWSONS CREEK BLVD STE E, FORT WAYNE, IN 46825-1912
(260) 387-6340
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
N/A
IN
1041C0700X
Clinical Social Worker
Primary
34006139A
IN
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/16/2007
Last updated
05/13/2025
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