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1457687402
THOMAS M ROE
ELKHART, IN
NPI
1457687402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-10-27
Last Update Date
2011-04-28
Business Address
-- THOMAS M ROE LCAC
2600 OAKLAND AVE
ELKHART, IN 46517-1533
Phone number: 574-533-1234
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Mailing Address
-- THOMAS M ROE LCAC
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234
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