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1174381917
MATTHEW L STANLEY
BLOOMINGTON, IN
NPI
1174381917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 99123673A)
Enumeration Date
2024-03-07
Last Update Date
2024-03-07
Business Address
MATTHEW L STANLEY LMHC
205 S WALNUT ST
BLOOMINGTON, IN 47404-6128
Phone number: 812-360-4847
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Mailing Address
MATTHEW L STANLEY LMHC
645 SAMS HILL RD
NASHVILLE, IN 47448-9685
Phone number: 812-360-4847
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