Individual
DEBORAH PARDUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3802 E 3RD ST, SUITE 217, BLOOMINGTON, IN 47401-5504
(812) 337-1134
Mailing address
8210 S KETCHAM RD, BLOOMINGTON, IN 47403-9674
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001819A
IN
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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