Provider First Line Business Practice Location Address:
1511 COLLEGE OF EDUCATION
Provider Second Line Business Practice Location Address:
INDIANA STATE UNIVERSITY
Provider Business Practice Location Address City Name:
TERRE HAUTE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47809-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-237-2889
Provider Business Practice Location Address Fax Number:
812-237-2729
Provider Enumeration Date:
06/09/2008