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1265463210
SHRUTI SINGH POULSEN
LAFAYETTE, IN
NPI
1265463210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IN 35001468A)
Enumeration Date
2006-07-06
Last Update Date
2007-07-08
Business Address
-- SHRUTI SINGH POULSEN Ph.D.
2201 FERRY ST HEARTLAND CLINIC
LAFAYETTE, IN 47904-3047
Phone number: 765-446-9898
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Mailing Address
-- SHRUTI SINGH POULSEN Ph.D.
1508 SUMMIT DR.
WEST LAFAYETTE, IN 47906-2228
Phone number: 765-463-2995
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