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1013549948
JAMES STACEY MAGER
TERRE HAUTE, IN
NPI
1013549948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2020-02-09
Last Update Date
2020-02-09
Business Address
JAMES STACEY MAGER M.ED.
4450 S HOUSEMAN ST
TERRE HAUTE, IN 47802-9197
Phone number: 812-240-0903
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Mailing Address
JAMES STACEY MAGER M.ED.
4450 S HOUSEMAN ST
TERRE HAUTE, IN 47802-9197
Phone number: 812-240-0903
Copy
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