MARK DURHAM KROLL

WEST LAFAYETTE, IN
NPI1144751348
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: IN  3300570A)
Enumeration Date2017-03-21
Last Update Date2017-03-21
Business Address
MARK DURHAM KROLL LSW
2435 KESTRAL BLVD APT D
WEST LAFAYETTE, IN 47906-6702
Phone number: 765-543-0478
Mailing Address
MARK DURHAM KROLL LSW
2435 KESTRAL BLVD APT D
WEST LAFAYETTE, IN 47906-6702
Phone number: 765-543-0478
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