Individual
CORINNE RHOADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3512 STELLHORN RD, FORT WAYNE, IN 46815-4631
(260) 483-9081
Mailing address
10108 ETHEN CT, FORT WAYNE, IN 46825-2078
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801095776
MI
1041C0700X
Clinical Social Worker
Primary
34008457A
IN
Other
Enumeration date
10/29/2013
Last updated
10/08/2020
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