Most Relevant Information
Provider Data
NPI Number: | 1003369273 |
Provider Name: | NICHOLAS TODORAN MSW |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | 34008126A |
Most Important Dates
Enumeration Date: | 07/25/2016 |
Last Updated: | 06/16/2022 |
Provider Practice Location
1909 CAREW ST
FORT WAYNE
IN
468054707
Practice Location Phone/Fax
Phone: | 2604812800 |
Fax: | 2609698442 |
Provider Mailing Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE
IN
468451701
Provider Mailing Phone/Fax
Phone: | |
Fax: |