BERTHOLD E STOVER

LAFAYETTE, IN
NPI1225469877
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34007054A)
Enumeration Date2013-12-09
Last Update Date2017-02-09
Business Address
-- BERTHOLD E STOVER LCSW
1716 HARTFORD ST.
LAFAYETTE, IN 47904-2138
Phone number: 765-742-1567
Mailing Address
-- BERTHOLD E STOVER LCSW
1716 HARTFORD ST.
LAFAYETTE, IN 47904-2138
Phone number: 765-742-1567
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