Individual
JAMIE DALING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5800 FAIRFIELD AVE, FORT WAYNE, IN 46807-3400
(260) 745-9431
Mailing address
2423 FAIRFIELD AVE, FORT WAYNE, IN 46807-1210
(260) 745-9431
(260) 745-0734
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007888A
IN
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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