Individual
DOMINIQUE NICOLE HYNDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
178 ARTISAN PASS, FORT WAYNE, IN 46845-0018
(260) 705-4753
Mailing address
178 ARTISAN PASS, FORT WAYNE, IN 46845-0018
(260) 705-4753
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34010685A
IN
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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