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1366061350
MADELINE MCGAW SMOUS
MISHAWAKA, IN
NPI
1366061350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN T-5072)
Enumeration Date
2020-04-10
Last Update Date
2020-04-10
Business Address
MADELINE MCGAW SMOUS ACIT
3006 LINCOLNWAY E
MISHAWAKA, IN 46544-3501
Phone number: 574-252-7233
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Mailing Address
MADELINE MCGAW SMOUS ACIT
3006 LINCOLNWAY E
MISHAWAKA, IN 46544-3501
Phone number: 574-252-7233
Copy
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