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1811677503
DAVID J. SHOCK
MUNCIE, IN
NPI
1811677503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39003769A)
Enumeration Date
2023-07-19
Last Update Date
2023-07-19
Business Address
DAVID J. SHOCK
3620 W WHITE RIVER BLVD
MUNCIE, IN 47304-4286
Phone number: 765-288-1928
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Mailing Address
DAVID J. SHOCK
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
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