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1407855414
KRISTINE A. THELEN
SOUTH BEND, IN
NPI
1407855414
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Other Name
KRISTINE ANN THELEN-EBERHART
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: IN 34004344A)
Enumeration Date
2005-07-20
Last Update Date
2007-07-08
Business Address
MS. KRISTINE A. THELEN LCSW
108 N MAIN ST SUITE 305
SOUTH BEND, IN 46601-1625
Phone number: 574-234-3515
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Mailing Address
MS. KRISTINE A. THELEN LCSW
4209 CROSS CREEK DR
SOUTH BEND, IN 46628
Phone number: 574-261-2488
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