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1740449016
MINDY I FORMAN
HARRISBURG, PA
NPI
1740449016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: PA PC004005)
Enumeration Date
2008-06-03
Last Update Date
2008-06-03
Business Address
-- MINDY I FORMAN MS
4918 LOCUST LN
HARRISBURG, PA 17109-4519
Phone number: 717-671-9610
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Mailing Address
-- MINDY I FORMAN MS
200 N 7TH ST
LEBANON, PA 17046-5040
Phone number: 717-273-1710
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