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1275905002
RITA MACK
INDIANAPOLIS, IN
NPI
1275905002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN 87001406A)
Enumeration Date
2015-10-20
Last Update Date
2015-10-20
Business Address
-- RITA MACK
2707 RAND RD
INDIANAPOLIS, IN 46241-5504
Phone number: 317-672-2621
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Mailing Address
-- RITA MACK
2707 RAND RD
INDIANAPOLIS, IN 46241-5504
Phone number: 317-672-2621
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