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1104866920
KEN R YODER
GOSHEN, IN
NPI
1104866920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34000514A)
Enumeration Date
2006-06-08
Last Update Date
2011-08-08
Business Address
-- KEN R YODER LCSW
330 LAKEVIEW DR
GOSHEN, IN 46528-9365
Phone number: 574-533-1234
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Mailing Address
-- KEN R YODER LCSW
330 LAKEVIEW DR
GOSHEN, IN 46528-9365
Phone number: 574-533-1234
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