JOHN WILLIAM LAFOLLETTE

LEBANON, IN
NPI1215673082
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  86000408A)
Enumeration Date2022-05-05
Last Update Date2022-11-30
Business Address
JOHN WILLIAM LAFOLLETTE LAC, MATS
2374 SHAKER LN APT E
LEBANON, IN 46052-4100
Phone number: 317-797-0773
Mailing Address
JOHN WILLIAM LAFOLLETTE LAC, MATS
4705 MEIJER CT
LAFAYETTE, IN 47905-4684
Phone number: