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1073637146
MANDI JO STUCK
TERRE HAUTE, IN
NPI
1073637146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34005296)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
-- MANDI JO STUCK LCSW
500 8TH AVE
TERRE HAUTE, IN 47804-4072
Phone number: 812-231-8177
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Mailing Address
-- MANDI JO STUCK LCSW
PO BOX 4323 620 8TH AVENUE
TERRE HAUTE, IN 47804-0323
Phone number: 812-231-8323
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