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1699810895
MICHAEL JOSEPH THEALL
SOUTH BEND, IN
NPI
1699810895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39000651A)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
-- MICHAEL JOSEPH THEALL LMHC
403 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-283-1107
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Mailing Address
-- MICHAEL JOSEPH THEALL LMHC
403 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-283-1107
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