GWENDOLYN LAVORN HORTON

DYER, IN
NPI1487990826
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  87000621A)
Enumeration Date2012-12-12
Last Update Date2021-03-13
Business Address
GWENDOLYN LAVORN HORTON MHS, LCAC
24 JOLIET ST
DYER, IN 46311-1705
Phone number: 219-865-2141
Mailing Address
GWENDOLYN LAVORN HORTON MHS, LCAC
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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