Individual
KYLIE RAE LOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2355 E CEDAR CANYONS ROAD, FORT WAYNE, IN 46845-9330
(260) 925-2017
(260) 925-9713
Mailing address
PO BOX 289, EDGERTON, OH 43517
(260) 925-2017
(260) 925-9713
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001879A
IN
Other
Enumeration date
10/04/2012
Last updated
09/21/2021
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