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1295030666
LISE D DELONG
GREENWOOD, IN
NPI
1295030666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2011-01-17
Last Update Date
2011-01-17
Business Address
-- LISE D DELONG PH.D. CPCRT
1678 FRY RD STE C
GREENWOOD, IN 46142-1176
Phone number: 317-888-7420
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Mailing Address
-- LISE D DELONG PH.D. CPCRT
1678 FRY RD STE C
GREENWOOD, IN 46142-1176
Phone number: 317-888-7420
Copy
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