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1508817057
VIRGIL MACKE
TERRE HAUTE, IN
NPI
1508817057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34001975)
Enumeration Date
2006-05-12
Last Update Date
2011-03-15
Business Address
-- VIRGIL MACKE LCSW
620 8TH AVE
TERRE HAUTE, IN 47804-2744
Phone number: 812-231-8345
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Mailing Address
-- VIRGIL MACKE LCSW
PO BOX 4323
TERRE HAUTE, IN 47804-0323
Phone number: 812-231-8323
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