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1366855462
VICTORIA CHARLESTON
GARY, IN
NPI
1366855462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: IN 87001015A)
Enumeration Date
2014-06-05
Last Update Date
2014-06-05
Business Address
VICTORIA CHARLESTON LCAC
1110 W 5TH AVE
GARY, IN 46402-1723
Phone number: 219-885-4264
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Mailing Address
VICTORIA CHARLESTON LCAC
5077 ADAMS ST
GARY, IN 46408-4628
Phone number: 219-887-0510
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