Individual
DERARTU FITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10358 BOXWOOD CT, FISHERS, IN 46037-9098
(217) 721-2760
Mailing address
10358 BOXWOOD CT, FISHERS, IN 46037-9098
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004965A
IN
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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