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1093259863
MICHAEL ALLEN
INDIANAPOLIS, IN
NPI
1093259863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN 87999108A)
Enumeration Date
2016-12-13
Last Update Date
2016-12-13
Business Address
-- MICHAEL ALLEN LCAC
1099 N MERIDIAN ST
INDIANAPOLIS, IN 46204-1075
Phone number: 317-988-1413
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Mailing Address
-- MICHAEL ALLEN LCAC
1099 N MERIDIAN ST
INDIANAPOLIS, IN 46204-1075
Phone number: 317-988-1413
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