Victoria M Sprague LCSW

NPI 1083620272 - Social Worker - 1041C0700X

NPI Details
NPI 1083620272
Gender Female
Enumeration Date 07/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
FORT WAYNE IN, 46805-5100, US
Phone (260) 426-5431
Fax (260) 460-1842
Business Location
FORT WAYNE IN, 46807-1015, US
Phone (260) 426-5431
Fax (260) 460-1482
Taxonomy Code 1041C0700X
License State Indiana
License Number 34003287A
Remove 1083620272 NPI Number

According to our database, Ms. Victoria M Sprague LCSW NPI is 1083620272, taxonomy code is 1041C0700X and license number is 34003287A, license state is located at Indiana. Victoria M Sprague LCSW physically located at 2121 Lake Ave, Fort Wayne IN, 46805-5100. NPI Number Victoria M Sprague LCSW has the Individual type.

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1083620272 NPI number is provided on an as is basis without warranty of any kind. 1083620272 is maintained by the National Plan & Provider Enumeration System. The contents of Victoria M Sprague LCSW are for informational purposes only.