Individual
MRS. MARY M MCARDLE-BIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4656 W JEFFERSON BLVD, 285, FORT WAYNE, IN 46804-6857
(260) 422-9372
(260) 422-0843
Mailing address
4656 W JEFFERSON BLVD, 285, FORT WAYNE, IN 46804-6857
(260) 422-9372
(260) 422-0843
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002936A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34002936A
LCSW
IN
01
—
35001048A
LMFT
IN
Enumeration date
12/26/2006
Last updated
07/08/2007
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