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Individual

EMILY THALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
240 N TILLOTSON AVENUE, MUNCIE, IN 47304
(765) 288-1928
(765) 741-0335
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304
(765) 288-1928
(765) 741-0359

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
88000263A
IN

Other

Enumeration date
09/18/2015
Last updated
07/24/2017
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