ELIZABETH MICHELLE UTTERBACK

BLOOMINGTON, IN
NPI1396220703
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  87000915)
Enumeration Date2018-10-02
Last Update Date2018-10-02
Business Address
ELIZABETH MICHELLE UTTERBACK LCAC
4633 W RICHLAND PLAZA DR
BLOOMINGTON, IN 47404-9776
Phone number: 812-287-9823
Mailing Address
ELIZABETH MICHELLE UTTERBACK LCAC
4618 E 34TH ST
INDIANAPOLIS, IN 46218-2305
Phone number: 317-435-7619
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