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1396295739
CARISSA LOPEZ-BOCKUS
INDIANAPOLIS, IN
NPI
1396295739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 88000226A)
Enumeration Date
2016-10-10
Last Update Date
2016-10-10
Business Address
-- CARISSA LOPEZ-BOCKUS LMHCA
4107 E WASHINGTON ST
INDIANAPOLIS, IN 46201-4538
Phone number: 317-375-0203
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Mailing Address
-- CARISSA LOPEZ-BOCKUS LMHCA
132 N GLADSTONE AVE
INDIANAPOLIS, IN 46201-3604
Phone number: 937-474-2155
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