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1174029235
MARILYN THOMAS
GARY, IN
NPI
1174029235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-04-05
Last Update Date
2021-05-21
Business Address
MARILYN THOMAS MHS, CADAC IV, LCAC
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
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Mailing Address
MARILYN THOMAS MHS, CADAC IV, LCAC
4747 W 24TH AVE
GARY, IN 46406-2821
Phone number: 773-350-0148
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