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Individual
DANIEL EDWARD WADDLE
Active
Individual
DANIEL EDWARD WADDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000376A
IN
101YM0800X
Mental Health Counselor
Primary
39001614A
IN
Other
Enumeration date
12/03/2005
Last updated
03/29/2018
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