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1871912774
TOM WALTERS
SOUTH BEND, IN
NPI
1871912774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39002588a)
Enumeration Date
2014-04-08
Last Update Date
2014-07-31
Business Address
-- TOM WALTERS LMHC
415 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-533-1234
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Mailing Address
-- TOM WALTERS LMHC
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234
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