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1124649249
EJ UNDERWOOD
WARSAW, IN
NPI
1124649249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-04-29
Last Update Date
2020-04-29
Business Address
EJ UNDERWOOD
105 ENTERPRISE DR
WARSAW, IN 46580-1204
Phone number: 574-268-0448
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Mailing Address
EJ UNDERWOOD
6202 CONSTITUTION DR STE E
FORT WAYNE, IN 46804-1583
Phone number: 260-432-0066
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