Provider Information for 1184863508
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Mrs. SHIRLEY FAITH SOUDER Counselor
Sex: Female
NPI: 1184863508
Last Updated: 2009-02-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1184863508 | ||||||||||||
| Enumeration Date | 2009-02-09 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 5613 COUNTY ROAD 29 AUBURN, IN 46706-9608 United States Phone: 260-925-0798 | Fax:260-925-0798 | ||||||||||||
| Primary Practice Address | 5613 COUNTY ROAD 29 AUBURN, IN 46706-9608 United States Phone: 260-925-0798 | Fax:260-925-0798 | ||||||||||||
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