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1629036876
PHIL EWOLDSEN
TERRE HAUTE, IN
NPI
1629036876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IN 350000597)
Enumeration Date
2006-05-03
Last Update Date
2007-07-08
Business Address
-- PHIL EWOLDSEN LMFT
4201 S 7TH ST
TERRE HAUTE, IN 47802-4367
Phone number: 812-231-8133
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Mailing Address
-- PHIL EWOLDSEN LMFT
PO BOX 4323
TERRE HAUTE, IN 47804-0323
Phone number: 812-231-8323
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