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Individual

CAROL RV TODD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LMHC

Contact information

Practice address
2004 VALPARAISO ST, VALPARAISO, IN 46383-3138
(219) 476-3190
(219) 477-5646
Mailing address
2004 VALPARAISO ST, VALPARAISO, IN 46383-3138
(219) 476-3190
(219) 477-5646

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99026973A
IN

Other

Enumeration date
06/05/2007
Last updated
07/08/2007
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