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1144317769
SUSAN MICHELE MOON
INDIANAPOLIS, IN
NPI
1144317769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-10-06
Last Update Date
2007-07-08
Business Address
Ms. SUSAN MICHELE MOON
1481 W 10TH ST C1194
INDIANAPOLIS, IN 46202-2803
Phone number: 317-554-0000
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Mailing Address
Ms. SUSAN MICHELE MOON
1481 W 10TH ST C1194
INDIANAPOLIS, IN 46202-2803
Phone number: 317-554-0000
Copy
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