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1154635043
JARED EATON
MERRILLVILLE, IN
NPI
1154635043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: IN 20042868A)
Enumeration Date
2010-08-03
Last Update Date
2015-09-17
Business Address
MR. JARED EATON PSYD, HSPP
1441 E 84TH PL
MERRILLVILLE, IN 46410-6451
Phone number: 219-736-9115
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Mailing Address
MR. JARED EATON PSYD, HSPP
8400 LOUISIANA ST
MERRILLVILLE, IN 46410-6385
Phone number: 219-757-1928
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