Individual
LORI HESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3606 BAIRD RD, FORT WAYNE, IN 46818-9367
(260) 637-3758
Mailing address
12205 GLEN LAKE DR, FORT WAYNE, IN 46814-4572
(765) 437-4130
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1602438
IN
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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