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1336554146
MIRANDA ROSE
GARY, IN
NPI
1336554146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-07-01
Last Update Date
2014-07-01
Business Address
-- MIRANDA ROSE
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
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Mailing Address
-- MIRANDA ROSE
361 N GRAND BLVD
GARY, IN 46403-1942
Phone number: 662-820-6514
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