Individual
ANN ELISABETH SLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1913 OMEE CT, FORT WAYNE, IN 46815-7961
(260) 348-7645
Mailing address
1913 OMEE CT, FORT WAYNE, IN 46815-7961
(260) 348-7645
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
INDIANA FIRST STEPS
IN
Enumeration date
07/30/2019
Last updated
07/30/2019
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