Individual
STEFANI M TOUNTZIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5920 DECATUR RD, FORT WAYNE, IN 46816-3640
(260) 424-4908
Mailing address
5920 DECATUR RD, FORT WAYNE, IN 46816-3640
(260) 424-4908
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33011873A
IN
Other
Enumeration date
10/06/2023
Last updated
11/13/2023
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