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1053501957
SHANNON DALE POLMATEER
LAFAYETTE, IN
NPI
1053501957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-07-26
Last Update Date
2007-07-26
Business Address
-- SHANNON DALE POLMATEER MA, NCC
615 N 18TH ST SUITE 201
LAFAYETTE, IN 47904
Phone number: 765-423-5361
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Mailing Address
-- SHANNON DALE POLMATEER MA, NCC
615 N 18TH ST SUITE 201
LAFAYETTE, IN 47904
Phone number: 765-423-5361
Copy
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