Individual
DR. JULIE RENEE LAFOLLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., H.S.P.P.
Contact information
Practice address
3901 E HAGAN ST, SUITE F, BLOOMINGTON, IN 47401-8557
(812) 650-1234
(812) 650-1235
Mailing address
3901 E HAGAN ST, SUITE F, BLOOMINGTON, IN 47401-8557
(812) 650-1234
(812) 650-1235
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20043032A
IN
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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