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1023504198
AUSTIN JEROME MALONE
GARY, IN
NPI
1023504198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39003046A)
Enumeration Date
2018-07-02
Last Update Date
2018-07-02
Business Address
AUSTIN JEROME MALONE LMHC
4905 MELTON RD
GARY, IN 46403-2873
Phone number: 219-808-0793
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Mailing Address
AUSTIN JEROME MALONE LMHC
222 INDIANAPOLIS BLVD STE 207
SCHERERVILLE, IN 46375-1275
Phone number: 219-808-0793
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