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1194172593
SIMPLY DIVINE
INDIANAPOLIS, IN
NPI
1194172593
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Entity Type
Organization
Authorized Contact
MICHAEL JAMES
CEO
317-263-1675
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IN 8700133A)
Enumeration Date
2016-05-16
Last Update Date
2016-07-15
Business Address
SIMPLY DIVINE
141 N SHORTRIDGE RD
INDIANAPOLIS, IN 46219-8906
Phone number: 317-263-1675
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Mailing Address
SIMPLY DIVINE
141 N SHORTRIDGE RD
INDIANAPOLIS, IN 46219-8906
Phone number: 317-263-1675
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