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1518105758
MARSHA LA BACCAM
LAFAYETTE, IN
NPI
1518105758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: IN 33005400A)
Enumeration Date
2009-01-26
Last Update Date
2009-01-26
Business Address
-- MARSHA LA BACCAM MSW
100 SAW MILL RD SUITE 3200
LAFAYETTE, IN 47905-5592
Phone number: 765-742-4848
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Mailing Address
-- MARSHA LA BACCAM MSW
2123 BRIDGEWATER CIR APT. A
LAFAYETTE, IN 47909-7352
Phone number: 321-482-2814
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