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1154410777
MARK EDISON MILLER
INDIANAPOLIS, IN
NPI
1154410777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34003626A)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
-- MARK EDISON MILLER Social Worker
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number: 317-988-2501
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Mailing Address
-- MARK EDISON MILLER Social Worker
3440 E FALL CREEK PARKWAY NORTH DR
INDIANAPOLIS, IN 46205-3693
Phone number: 317-283-9042
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