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1467579649
A SUE ANTHONY
LAFAYETTE, IN
NPI
1467579649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
-- A SUE ANTHONY
610 MAIN ST
LAFAYETTE, IN 47901-1451
Phone number: 765-423-2638
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Mailing Address
-- A SUE ANTHONY
610 MAIN ST
LAFAYETTE, IN 47901-1451
Phone number:
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