Mcculloch, Deborah
Mcculloch, Deborah is an individual health care provider with primary practice located at 3737 Lake Ave , Fort Wayne IN 46805-5554. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Mcculloch, Deborah can be contacted via phone (260) 422-1680.Contact Information
Primary practice address
3737 Lake Ave
Fort Wayne IN 46805-5554
Phone: (260) 422-1680
Fax: (260) 422-1555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | Indiana |
Profile Details
| NPI number | 1417083486 |
|---|---|
| LBN Legal business name | Mcculloch, Deborah |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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