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1265001457
PATRICK J CHESEBROUGH
FORT WAYNE, IN
NPI
1265001457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN 87001654A)
Enumeration Date
2021-06-22
Last Update Date
2021-06-22
Business Address
PATRICK J CHESEBROUGH LCAC
4618 E STATE BLVD STE 300
FORT WAYNE, IN 46815-6966
Phone number: 260-373-0213
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Mailing Address
PATRICK J CHESEBROUGH LCAC
4618 E STATE BLVD STE 300
FORT WAYNE, IN 46815-6966
Phone number: 260-373-0213
Copy
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