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1174738439
PEARL A. ANDERSON
SOUTH BEND, IN
NPI
1174738439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
Ms. PEARL A. ANDERSON ACIT
4005 W WESTERN AVE
SOUTH BEND, IN 46619-2617
Phone number: 574-233-1524
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Mailing Address
Ms. PEARL A. ANDERSON ACIT
4005 W WESTERN AVE
SOUTH BEND, IN 46619-2617
Phone number: 574-233-1524
Copy
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