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1295004505
THEODORE K GORE
EVANSVILLE, IN
NPI
1295004505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34002569A)
Enumeration Date
2011-12-16
Last Update Date
2011-12-16
Business Address
-- THEODORE K GORE LCSW
7200 E INDIANA ST
EVANSVILLE, IN 47715-2753
Phone number: 812-476-7200
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Mailing Address
-- THEODORE K GORE LCSW
PO BOX 1230
EVANSVILLE, IN 47706-1230
Phone number: 812-450-6815
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