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1497460547
THRIVEWORKS CLINICAL - INDIANA LLC
LAFAYETTE, IN
NPI
1497460547
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Entity Type
Organization
Authorized Contact
ANTHONY CENTORE
CEO
540-217-6461
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-01-23
Last Update Date
2023-01-23
Business Address
THRIVEWORKS CLINICAL - INDIANA LLC
250 MAIN ST STE 420
LAFAYETTE, IN 47901-1285
Phone number: 855-284-7483
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Mailing Address
THRIVEWORKS CLINICAL - INDIANA LLC
PO BOX 748465
ATLANTA, GA 30374-8465
Phone number: 855-284-7483
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