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1205246915
MARTINE FAIST
INDIANAPOLIS, IN
NPI
1205246915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34003220A)
Enumeration Date
2014-05-02
Last Update Date
2014-05-02
Business Address
-- MARTINE FAIST LCSW
6350 N SHADELAND AVE
INDIANAPOLIS, IN 46220-4391
Phone number: 317-771-5861
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Mailing Address
-- MARTINE FAIST LCSW
2518 PARR DR
INDIANAPOLIS, IN 46220-1326
Phone number: 317-771-5861
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