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1376807370
TADD MICHAEL WHALLON
BROWNSBURG, IN
NPI
1376807370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN 87000325A)
Enumeration Date
2012-06-25
Last Update Date
2012-06-25
Business Address
Mr. TADD MICHAEL WHALLON LCAC
515 N GREEN ST STE 402
BROWNSBURG, IN 46112-2421
Phone number: 317-852-3690
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Mailing Address
Mr. TADD MICHAEL WHALLON LCAC
10889 PARKER DR
INDIANAPOLIS, IN 46231-1077
Phone number: 317-313-0448
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