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1265867204
ROBERT VANDERWAL
MISHAWAKA, IN
NPI
1265867204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39002492A)
Enumeration Date
2013-09-10
Last Update Date
2018-07-31
Business Address
ROBERT VANDERWAL MS, LMHC
1818 WENT AVE
MISHAWAKA, IN 46545
Phone number: 574-254-0229
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Mailing Address
ROBERT VANDERWAL MS, LMHC
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
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