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1851468805
LAURA DAWN BLAHOUS-MANGIN
BLOOMINGTON, IN
NPI
1851468805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34003891A)
Enumeration Date
2006-11-28
Last Update Date
2007-07-08
Business Address
-- LAURA DAWN BLAHOUS-MANGIN LCSW ACSW
205 N COLLEGE AVE SUITE 210B
BLOOMINGTON, IN 47404-3950
Phone number: 812-320-2493
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Mailing Address
-- LAURA DAWN BLAHOUS-MANGIN LCSW ACSW
3526 S TUDOR LN
BLOOMINGTON, IN 47401-8761
Phone number: 812-320-2493
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