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1366712804
RITA KATHLEEN MAHAN
GREENWOOD, IN
NPI
1366712804
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Former Name
RITA KATHLEEN RICHARDSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: IN 34000296A)
Enumeration Date
2011-12-30
Last Update Date
2011-12-30
Business Address
RITA KATHLEEN MAHAN LCSW, RN
898 E MAIN ST
GREENWOOD, IN 46143-1407
Phone number: 317-887-1438
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Mailing Address
RITA KATHLEEN MAHAN LCSW, RN
898 E MAIN ST
GREENWOOD, IN 46143-1407
Phone number: 317-887-1438
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