Individual
MRS. DEBRA MARY BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2121 LAKE AVE, ROOM 526, FORT WAYNE, IN 46805-5100
(260) 426-5431
Mailing address
4907 STELLHORN RD, FORT WAYNE, IN 46815-5051
(765) 661-5846
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002190A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34002190A
LCSW
IN
Enumeration date
09/29/2006
Last updated
07/08/2007
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