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1720331705
ELISE MALLER
SOUTH BEND, IN
NPI
1720331705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39002174A)
Enumeration Date
2012-10-16
Last Update Date
2022-01-29
Business Address
ELISE MALLER MS, LMHC
1251 N EDDY ST STE 200
SOUTH BEND, IN 46617-1478
Phone number: 574-208-3776
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Mailing Address
ELISE MALLER MS, LMHC
1251 N EDDY ST STE 200
SOUTH BEND, IN 46617-1478
Phone number: 574-208-3776
Copy
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