KEN R YODER

GOSHEN, IN
NPI1104866920
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34000514A)
Enumeration Date2006-06-08
Last Update Date2011-08-08
Business Address
-- KEN R YODER LCSW
330 LAKEVIEW DR
GOSHEN, IN 46528-9365
Phone number: 574-533-1234
Mailing Address
-- KEN R YODER LCSW
330 LAKEVIEW DR
GOSHEN, IN 46528-9365
Phone number: 574-533-1234
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