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1003515313
CODY FENWICK
EVANSVILLE, IN
NPI
1003515313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: IN 33011168A)
Enumeration Date
2023-02-24
Last Update Date
2024-09-20
Business Address
CODY FENWICK
1133 LINCOLN AVE
EVANSVILLE, IN 47714-1028
Phone number: 812-491-2615
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Mailing Address
CODY FENWICK
1133 LINCOLN AVE
EVANSVILLE, IN 47714-1028
Phone number: 812-491-2615
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