Individual
MRS. CHERYL AMANDA GRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2414 E STATE BLVD, SUITE 304, FORT WAYNE, IN 46805-4760
(260) 373-8060
(260) 373-8042
Mailing address
2414 E STATE BLVD, SUITE 304, FORT WAYNE, IN 46805-4760
(260) 373-8060
(260) 373-8042
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33000009A
IN
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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