Individual
DAWN RENEE POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.E., EDS
Contact information
Practice address
1801 S 18TH ST, LAFAYETTE, IN 47905-2011
(765) 772-4700
(765) 772-4713
Mailing address
1840 S 18TH ST, LAFAYETTE, IN 47905-2012
(765) 772-4700
(765) 772-4775
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1410699
IN
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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