Mary Susan Thuillard

NPI #1417401167 in Lagrange, Indiana

Provider Information

NPI Number
1417401167
Entity Type
Individual
Name
Mary Susan Thuillard
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Aug 11, 2016
Last Updated
Aug 11, 2016

Practice Location

Address
2155 N STATE ROAD 9
State
Indiana
ZIP Code
46761-8746
Phone
(260) 463-7144

Specialties & Taxonomy Codes

Specialty
Counselor

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