Individual
LAURA MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2417 FAIRFIELD AVE, FORT WAYNE, IN 46807-1210
(260) 424-7977
(260) 426-7576
Mailing address
2417 FAIRFIELD AVE, FORT WAYNE, IN 46807-1210
(260) 424-7977
(260) 426-7576
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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