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1780635102
HENRY SHELTON BAISE
MUNCIE, IN
NPI
1780635102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34002157A)
Enumeration Date
2006-05-12
Last Update Date
2007-07-08
Business Address
-- HENRY SHELTON BAISE LCSW
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
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Mailing Address
-- HENRY SHELTON BAISE LCSW
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
Copy
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