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1255706271
KESTREL HOMER
LOGANSPORT, IN
NPI
1255706271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-02
Last Update Date
2015-12-02
Business Address
-- KESTREL HOMER MA
1015 MICHIGAN AVE
LOGANSPORT, IN 46947-1526
Phone number: 574-722-5151
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Mailing Address
-- KESTREL HOMER MA
1015 MICHIGAN AVE
LOGANSPORT, IN 46947-1526
Phone number: 574-722-5151
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