LUIS JAVIER BALCAZAR

WEST LAFAYETTE, IN
NPI1487055422
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2014-09-09
Last Update Date2016-04-29
Business Address
-- LUIS JAVIER BALCAZAR
601 STADIUM MALL DR
WEST LAFAYETTE, IN 47907-2052
Phone number: 765-494-6995
Mailing Address
-- LUIS JAVIER BALCAZAR
902 N CHAUNCEY AVE
WEST LAFAYETTE, IN 47906-2706
Phone number:
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