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1639208481
CAROL ANN TAGESON
SOUTH BEND, IN
NPI
1639208481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IN 20041646A)
Enumeration Date
2007-03-05
Last Update Date
2007-07-16
Business Address
Dr. CAROL ANN TAGESON Psy.D
828 E COLFAX AVE
SOUTH BEND, IN 46617-2804
Phone number: 574-233-3003
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Mailing Address
Dr. CAROL ANN TAGESON Psy.D
828 E COLFAX AVE
SOUTH BEND, IN 46617-2804
Phone number: 574-233-3003
Copy
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