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Individual

PAULINE STANTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
107 W 20TH ST, CONNERSVILLE, IN 47331-2847
(765) 827-5610
(765) 825-9440
Mailing address
107 W 20TH ST, CONNERSVILLE, IN 47331-2847
(765) 827-5610
(765) 825-9440

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34007228A
IN

Other

Enumeration date
04/29/2015
Last updated
04/29/2015
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