Individual
MADELON JOAN DRIBBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7917 WINSTON LN, 4630 WEST JEFFERSON BLVD., FORT WAYNE, IN 46804-5780
(260) 442-8892
Mailing address
7917 WINSTON LN, 4630 WEST JEFFERSON BLVD., FORT WAYNE, IN 46804-5780
(260) 399-4357
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005312A
IN
Other
Enumeration date
04/14/2007
Last updated
07/08/2007
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