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1366106007
JEWEL CARLISLE
INDIANAPOLIS, IN
NPI
1366106007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-10-28
Last Update Date
2021-10-28
Business Address
JEWEL CARLISLE MAMFT
1201 N POST RD STE 3
INDIANAPOLIS, IN 46219-4225
Phone number: 317-405-8833
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Mailing Address
JEWEL CARLISLE MAMFT
1201 N POST RD STE 3
INDIANAPOLIS, IN 46219-4225
Phone number: 463-206-2120
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