Provider Information for 1679154546
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MICHELLE KEPLAR MSW, LSW
Sex: Female
NPI: 1679154546
Last Updated: 2021-04-21
Certification Date: 2021-04-21
Certification Date: 2021-04-21
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1679154546 | ||||||||||||||
| Enumeration Date | 2021-04-21 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 2500 E STATE BLVD FORT WAYNE, IN 46805-4728 United States Phone: 260-426-5431 | Fax:260-421-1029 | ||||||||||||||
| Primary Practice Address | 2500 E STATE BLVD FORT WAYNE, IN 46805-4728 United States Phone: 260-426-5431 | Fax:260-421-1029 | ||||||||||||||
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