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1902223522
LORA ELIZABETH RUSEL
GOSHEN, IN
NPI
1902223522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34006327A)
Enumeration Date
2014-03-20
Last Update Date
2014-03-20
Business Address
-- LORA ELIZABETH RUSEL LCSW
213 MIDDLEBURY ST
GOSHEN, IN 46528-2956
Phone number: 574-534-3300
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Mailing Address
-- LORA ELIZABETH RUSEL LCSW
213 MIDDLEBURY ST
GOSHEN, IN 46528-2956
Phone number: 574-534-3300
Copy
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