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1215973458
JEFFREY D OMOHUNDRO
EVANSVILLE, IN
NPI
1215973458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34002543A)
Enumeration Date
2006-06-22
Last Update Date
2007-07-08
Business Address
-- JEFFREY D OMOHUNDRO LCSW
7200 E INDIANA ST
EVANSVILLE, IN 47715-2753
Phone number: 812-746-7200
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Mailing Address
-- JEFFREY D OMOHUNDRO LCSW
PO BOX 8127
EVANSVILLE, IN 47716-8127
Phone number: 812-450-6815
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