Individual
ERIN G FALLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1010 E DUPONT RD, FORT WAYNE, IN 46825-1554
(260) 471-8141
(260) 471-7979
Mailing address
1010 E DUPONT RD, FORT WAYNE, IN 46825-1554
(260) 471-8141
(260) 471-7979
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
33011779A
IN
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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