WARREN EUGENE MATTHIAS

BEDFORD, IN
NPI1497061741
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  86000041A)
Enumeration Date2010-08-25
Last Update Date2012-09-18
Business Address
-- WARREN EUGENE MATTHIAS LAC, CAS
2325 Q ST
BEDFORD, IN 47421-4718
Phone number: 812-279-4673
Mailing Address
-- WARREN EUGENE MATTHIAS LAC, CAS
2325 "Q" ST
BEDFORD, IN 47421-2803
Phone number: 812-279-4673
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