MARK ANTHONY DOCKERTY

MARION, IN
NPI1235636598
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  MATS127)
Enumeration Date2018-04-12
Last Update Date2018-04-12
Business Address
Mr. MARK ANTHONY DOCKERTY MATS
317 S NORTON ST
MARION, IN 46952-3296
Phone number: 765-664-0101
Mailing Address
Mr. MARK ANTHONY DOCKERTY MATS
317 S NORTON ST
MARION, IN 46952-3296
Phone number: 765-664-0101
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