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1023534815
MITCHELL JAMES VANSUMEREN
INDIANAPOLIS, IN
NPI
1023534815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: IN 20043294A)
Enumeration Date
2017-08-14
Last Update Date
2019-09-27
Business Address
MITCHELL JAMES VANSUMEREN PSYD
10291 N MERIDIAN ST STE 310
INDIANAPOLIS, IN 46290
Phone number: 317-672-1970
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Mailing Address
MITCHELL JAMES VANSUMEREN PSYD
10291 N MERIDIAN ST STE 310
INDIANAPOLIS, IN 46290-1083
Phone number: 317-672-1970
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