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1083055909
THOMAS PENNINGTON
RICHMOND, IN
NPI
1083055909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN 87000619A)
Enumeration Date
2013-07-08
Last Update Date
2022-07-21
Business Address
-- THOMAS PENNINGTON MBA, LCAC, CADAC
630 E MAIN ST STE 200
RICHMOND, IN 47374-4358
Phone number: 765-935-5390
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Mailing Address
-- THOMAS PENNINGTON MBA, LCAC, CADAC
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
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