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1770571150
SUSAN RUTH MOEDER
WARSAW, IN
NPI
1770571150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39001716A)
Enumeration Date
2005-10-11
Last Update Date
2007-07-08
Business Address
-- SUSAN RUTH MOEDER LMHC
850 N HARRISON ST
WARSAW, IN 46580-3163
Phone number: 574-267-7169
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Mailing Address
-- SUSAN RUTH MOEDER LMHC
2100 GOSHEN RD
FORT WAYNE, IN 46808-1493
Phone number: 260-471-3500
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