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1265219943
KELLIANN MADDOX
INDIANAPOLIS, IN
NPI
1265219943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN 87000498A)
Enumeration Date
2023-09-14
Last Update Date
2023-09-14
Business Address
KELLIANN MADDOX
8102 CLEARVISTA PKWY
INDIANAPOLIS, IN 46256-1661
Phone number: 317-957-9800
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Mailing Address
KELLIANN MADDOX
270 PROVIDENCE BLVD
CARMEL, IN 46032-4523
Phone number: 317-460-4072
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