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1326269200
CLEVELAND G. SHIELDS
LAFAYETTE, IN
NPI
1326269200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IN 35001606A)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Dr. CLEVELAND G. SHIELDS Ph.D.
802 COLUMBIA STREET
LAFAYETTE, IN 47901
Phone number: 765-418-5805
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Mailing Address
Dr. CLEVELAND G. SHIELDS Ph.D.
802 COLUMBIA STREET
LAFAYETTE, IN 47901
Phone number: 765-418-5805
Copy
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