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1831421668
CAROL A DERUCKI
GOSHEN, IN
NPI
1831421668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39002267A)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2010-02-04
Last Update Date
2024-01-30
Business Address
CAROL A DERUCKI LMHC
330 LAKEVIEW DR
GOSHEN, IN 46528-7000
Phone number: 574-537-2652
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Mailing Address
CAROL A DERUCKI LMHC
330 LAKEVIEW DR
GOSHEN, IN 46528-7000
Phone number: 574-533-1234
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