Provider First Line Business Practice Location Address:
BALL STATE UNIV
Provider Second Line Business Practice Location Address:
DEPARTMENT OF COUNSELING PSYCHOLOGY, TC622
Provider Business Practice Location Address City Name:
MUNCIE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47306-1099
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
765-285-8058
Provider Business Practice Location Address Fax Number:
765-285-2067
Provider Enumeration Date:
07/30/2007