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1588759013
WALTEE DOUGLAS
GARY, IN
NPI
1588759013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: IN 20040617A)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
-- WALTEE DOUGLAS PhD
667 VAN BUREN
GARY, IN 46402
Phone number: 219-885-5819
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Mailing Address
-- WALTEE DOUGLAS PhD
667 VAN BUREN P.O. BOX 9135
GARY, IN 46402
Phone number: 219-885-5819
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