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1295577815
TERRELL JERMAINE BROWN
FORT WAYNE, IN
NPI
1295577815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN 87001772A)
Enumeration Date
2024-06-12
Last Update Date
2024-08-06
Business Address
TERRELL JERMAINE BROWN MS, MA, LCAC
1690 BROADWAY BLD 19 SUITE 10
FORT WAYNE, IN 46802
Phone number: 260-409-8432
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Mailing Address
TERRELL JERMAINE BROWN MS, MA, LCAC
1690 BROADWAY BLD 19 SUITE 10
FORT WAYNE, IN 46802
Phone number: 260-409-8432
Copy
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