SHANNON DALE POLMATEER

LAFAYETTE, IN
NPI1053501957
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-07-26
Last Update Date2007-07-26
Business Address
-- SHANNON DALE POLMATEER MA, NCC
615 N 18TH ST SUITE 201
LAFAYETTE, IN 47904
Phone number: 765-423-5361
Mailing Address
-- SHANNON DALE POLMATEER MA, NCC
615 N 18TH ST SUITE 201
LAFAYETTE, IN 47904
Phone number: 765-423-5361