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1114107679
EDWARD DALE
LEBANON, PA
NPI
1114107679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NE 201)
Enumeration Date
2007-11-13
Last Update Date
2007-11-13
Business Address
Dr. EDWARD DALE Psy.D.
1700 S LINCOLN AVE
LEBANON, PA 17042-7529
Phone number: 717-272-6621
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Mailing Address
Dr. EDWARD DALE Psy.D.
14736 ADAMS CIR
OMAHA, NE 68137-3934
Phone number:
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