LARRY DALE SQUIRES

GREENCASTLE, IN
NPI1083666143
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34001063A)
Enumeration Date2006-05-17
Last Update Date2007-07-08
Business Address
Mr. LARRY DALE SQUIRES LCSW
308 MEDIC WAY
GREENCASTLE, IN 46135-2296
Phone number: 765-653-2669
Mailing Address
Mr. LARRY DALE SQUIRES LCSW
9501 W WOLF MOUNTAIN RD
GOSPORT, IN 47433-9597
Phone number: 812-876-4151
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