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
- City
- Greencastle
- State
- Indiana
- ZIP Code
- 46135-2296
- Phone
- (765) 653-2669
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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