Individual
GRACE KLIMEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 E DUPONT RD, FORT WAYNE, IN 46825-1554
(260) 438-0627
Mailing address
5604 PEART CV, AUBURN, IN 46706-0076
(260) 438-0627
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99125136A
IN
Other
Enumeration date
06/22/2024
Last updated
06/22/2024
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