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Organization
WABASH VALLEY THERAPY, LLC
Active
Organization
WABASH VALLEY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA COOPER-BOLINSKEY LCSW (THERAPIST)
(812) 230-1699
Entity
Organization
Contact information
Practice address
609 E SURGERY CENTER DR, TERRE HAUTE, IN 47802-6815
(812) 917-5091
Mailing address
30 ALLENDALE, TERRE HAUTE, IN 47802-4751
(812) 230-1699
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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