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1346837069
JENNIFER FILLMORE
BLOOMINGTON, IN
NPI
1346837069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN 87000246A)
Enumeration Date
2020-12-29
Last Update Date
2020-12-29
Business Address
JENNIFER FILLMORE LCAC
645 S ROGERS ST
BLOOMINGTON, IN 47403-2353
Phone number: 812-339-1691
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Mailing Address
JENNIFER FILLMORE LCAC
645 S ROGERS ST
BLOOMINGTON, IN 47403-2353
Phone number: 812-339-1691
Copy
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