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1477579290
LOUISE E. MIRACLE
BLOOMINGTON, IN
NPI
1477579290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: IN 20040642A)
Enumeration Date
2006-07-14
Last Update Date
2008-09-25
Business Address
Dr. LOUISE E. MIRACLE Ph.D., HSPP, Inc.
2525 W. VERNAL PIKE
BLOOMINGTON, IN 47404
Phone number: 812-339-4877
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Mailing Address
Dr. LOUISE E. MIRACLE Ph.D., HSPP, Inc.
P.O. BOX 3155
BLOOMINGTON, IN 47402
Phone number: 812-339-4877
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