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1720351117
MARY ANN NUSBAUM
LOGANSPORT, IN
NPI
1720351117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IN 20042168A)
Enumeration Date
2012-02-15
Last Update Date
2012-02-15
Business Address
-- MARY ANN NUSBAUM PhD
4738 W COUNTY ROAD 400 S
LOGANSPORT, IN 46947-8371
Phone number: 574-339-9277
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Mailing Address
-- MARY ANN NUSBAUM PhD
5310 WARD RD SUITE 106
ARVADA, CO 80002-1832
Phone number: 303-278-7418
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