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1386302321
NIKKIA O'BANNON
BEDFORD, IN
NPI
1386302321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34009542A)
Enumeration Date
2021-12-07
Last Update Date
2021-12-07
Business Address
NIKKIA O'BANNON LCSW
1315 HILLCREST RD
BEDFORD, IN 47421-3023
Phone number: 812-329-4950
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Mailing Address
NIKKIA O'BANNON LCSW
645 S ROGERS ST
BLOOMINGTON, IN 47403-2353
Phone number: 812-339-1691
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