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1104046739
PETER RICHARD DESMANGLES
LAFAYETTE, IN
NPI
1104046739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39001705A)
Enumeration Date
2007-04-26
Last Update Date
2021-03-26
Business Address
Mr. PETER RICHARD DESMANGLES MS, LMHC, LCAC
114 EXECUTIVE DR STE G
LAFAYETTE, IN 47905-4875
Phone number: 765-337-7757
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Mailing Address
Mr. PETER RICHARD DESMANGLES MS, LMHC, LCAC
114 EXECUTIVE DR STE G
LAFAYETTE, IN 47905-4875
Phone number: 653-377-7577
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