HENRY SHELTON BAISE

MUNCIE, IN
NPI1780635102
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34002157A)
Enumeration Date2006-05-12
Last Update Date2007-07-08
Business Address
-- HENRY SHELTON BAISE LCSW
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
Mailing Address
-- HENRY SHELTON BAISE LCSW
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
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