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1104295120
DARIUS BRANNON
GARY, IN
NPI
1104295120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2015-09-21
Last Update Date
2015-09-21
Business Address
DARIUS BRANNON B.A., CADAC II
1110 W 5TH AVE
GARY, IN 46402-1723
Phone number: 219-885-6424
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Mailing Address
DARIUS BRANNON B.A., CADAC II
1110 W 5TH AVE
GARY, IN 46402-1723
Phone number: 219-885-6424
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