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1285723122
JEFFREY WILLIAM VANDERWATER-PIERCY
LAFAYETTE, IN
NPI
1285723122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IN 20040366A)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
Dr. JEFFREY WILLIAM VANDERWATER-PIERCY Ph.D.
30 PROFESSIONAL CT SUITE 3
LAFAYETTE, IN 47905-5179
Phone number: 765-446-0533
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Mailing Address
Dr. JEFFREY WILLIAM VANDERWATER-PIERCY Ph.D.
8206 ROCKVILLE RD #134
INDIANAPOLIS, IN 46214-3113
Phone number: 765-446-0533
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