Individual
EDWIN L SHURIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAMFT
Contact information
Practice address
3166 E BRAESIDE DR, BLOOMINGTON, IN 47408-4391
(812) 360-5737
Mailing address
3166 E BRAESIDE DR, BLOOMINGTON, IN 47408-4391
(812) 360-5737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002310A
IN
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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