MYRA LOUISE FLEETWOOD

LAFAYETTE, IN
NPI1326727637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  87001414A)
Enumeration Date2023-07-13
Last Update Date2023-07-13
Business Address
MYRA LOUISE FLEETWOOD MA
2600 GREENBUSH ST
LAFAYETTE, IN 47904-2477
Phone number: 765-838-4030
Mailing Address
MYRA LOUISE FLEETWOOD MA
2600 GREENBUSH ST
LAFAYETTE, IN 47904-2477
Phone number: 765-838-4030
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