| Breaking Barriers Case Management | |
|
12625 Page Hill Ct Fort Wayne IN 46818-0012 | |
| (260) 348-4738 | |
| Not Available |
| Full Name | Breaking Barriers Case Management |
|---|---|
| Speciality | Social Worker |
| Location | 12625 Page Hill Ct, Fort Wayne, Indiana |
| Authorized Official Name and Position | Deanna S Lockett (CEO) |
| Authorized Official Contact | 2603484738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Barriers Case Management 12625 Page Hill Ct Fort Wayne IN 46818-0012 Ph: (260) 348-4738 | Breaking Barriers Case Management 12625 Page Hill Ct Fort Wayne IN 46818-0012 Ph: (260) 348-4738 |
| NPI Number | 1669068441 |
|---|---|
| Provider Enumeration Date | 12/16/2020 |
| Last Update Date | 12/16/2020 |
| Certification Date | 12/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669068441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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