MR. Larry Dale Squires, LCSW

NPI #1083666143 in Greencastle, Indiana

Provider Information

NPI Number
1083666143
Entity Type
Individual
Name
MR. Larry Dale Squires, LCSW
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
May 17, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
308 MEDIC WAY
State
Indiana
ZIP Code
46135-2296
Phone
(765) 653-2669

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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