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1093132698
KEVIN SHORT
INDIANAPOLIS, IN
NPI
1093132698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 99059885A)
Enumeration Date
2014-03-21
Last Update Date
2014-03-21
Business Address
-- KEVIN SHORT LCSW
5023 E 56TH ST 110
INDIANAPOLIS, IN 46226-1474
Phone number: 317-253-7387
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Mailing Address
-- KEVIN SHORT LCSW
PO BOX 55107
INDIANAPOLIS, IN 46205-0107
Phone number: 317-253-7387
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