EJ UNDERWOOD

WARSAW, IN
NPI1124649249
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-04-29
Last Update Date2020-04-29
Business Address
EJ UNDERWOOD
105 ENTERPRISE DR
WARSAW, IN 46580-1204
Phone number: 574-268-0448
Mailing Address
EJ UNDERWOOD
6202 CONSTITUTION DR STE E
FORT WAYNE, IN 46804-1583
Phone number: 260-432-0066
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