Individual
MRS. MARY L POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
500 OVAL DRIVE, 1353 HEAVILON HALL, WEST LAFAYETTE, IN 47907-2038
(765) 494-3823
(765) 494-0771
Mailing address
601 STADIUM MALL DRIVE, WEST LAFAYETTE, IN 47907-2052
(765) 496-1927
(765) 496-1227
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002310A
IN
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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