Individual
MARGARET R WARDLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 LAKE AVENUE, FORT WAYNE, IN 46805-6915
(260) 715-8256
Mailing address
2121 LAKE AVENUE, FORT WAYNE, IN 46805-6915
(260) 715-8256
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33008584A
IN
Other
Enumeration date
04/27/2020
Last updated
09/28/2021
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