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1801903018
LISA D PRINCE
MERRILLVILLE, IN
NPI
1801903018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IN 20041869A)
Enumeration Date
2006-08-24
Last Update Date
2008-01-17
Business Address
-- LISA D PRINCE PsyD
9111 BROADWAY SUITE Q
MERRILLVILLE, IN 46410
Phone number: 219-736-0003
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Mailing Address
-- LISA D PRINCE PsyD
9111 BROADWAY SUITE Q
MERRILLVILLE, IN 46410
Phone number: 219-736-0003
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