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1699794644
JOHN THOMAS HEROLDT
LA PORTE, IN
NPI
1699794644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IN 20040372A)
Enumeration Date
2006-07-19
Last Update Date
2007-12-14
Business Address
Dr. JOHN THOMAS HEROLDT Ed.D., HSPP
717 MICHIGAN AVE
LA PORTE, IN 46350-3371
Phone number: 219-874-2518
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Mailing Address
Dr. JOHN THOMAS HEROLDT Ed.D., HSPP
1652 TIPPECANOE CT
VALPARAISO, IN 46385-6142
Phone number: 219-874-2518
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