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1215683727
DIANA FOX
BLOOMINGTON, IN
NPI
1215683727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: IN 99107601A)
Enumeration Date
2022-02-23
Last Update Date
2022-02-23
Business Address
DIANA FOX
482 S LANDMARK AVE
BLOOMINGTON, IN 47403-5000
Phone number: 812-679-6130
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Mailing Address
DIANA FOX
482 S LANDMARK AVE
BLOOMINGTON, IN 47403-5000
Phone number:
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LIVED EXPERIENCE THERAPY AND CONSULTING LLC