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1184673766
MARY G HENEHAN
ELKHART, IN
NPI
1184673766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34004155)
Enumeration Date
2006-05-09
Last Update Date
2011-08-01
Business Address
-- MARY G HENEHAN LCSW
2600 OAKLAND AVE
ELKHART, IN 46517-1533
Phone number: 574-533-1234
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Mailing Address
-- MARY G HENEHAN LCSW
330 LAKEVIEW DR
GOSHEN, IN 46528-9365
Phone number: 574-533-1234
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