Individual
TOSHA SHAREE MCGLOTHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
7209 ENGLE RD STE 200, FORT WAYNE, IN 46804
(260) 484-4600
(260) 484-4002
Mailing address
7209 ENGLE RD STE 200, FORT WAYNE, IN 46804-2238
(260) 484-4600
(260) 484-4002
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99088833A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99088833A
TEMP SOCIAL WORKER PERMIT
IN
Enumeration date
01/26/2010
Last updated
09/19/2018
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