| Debra Corn Agency | |
|
200 Professional Ct Ste A Lafayette IN 47905-5134 | |
| (765) 479-2409 | |
| Not Available |
| Full Name | Debra Corn Agency |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 200 Professional Ct Ste A, Lafayette, Indiana |
| Authorized Official Name and Position | Aja Mutzl (MARRIAGE & FAMILY THERAPIST) |
| Authorized Official Contact | 7654491992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Corn Agency 200 Professional Ct Ste A Lafayette IN 47905-5134 Ph: (765) 479-2409 | Debra Corn Agency 200 Professional Ct Ste A Lafayette IN 47905-5134 Ph: (765) 479-2409 |
| NPI Number | 1104134022 |
|---|---|
| Provider Enumeration Date | 09/14/2010 |
| Last Update Date | 09/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104134022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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