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Organization

A BEAUTIFUL MIND CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LINDA MONROE PHD, HSPP (PRESIDENT)
(574) 243-9370
Entity
Organization

Contact information

Practice address
2410 GRAPE RD STE 1, MISHAWAKA, IN 46545-3015
(574) 243-9370
(574) 243-9375
Mailing address
2410 GRAPE RD STE 1, MISHAWAKA, IN 46545-3015
(574) 243-9370
(574) 243-9375

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
01/16/2024
Last updated
01/16/2024
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