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1518408350
MAURICE PATRICK BACKER
EVANSVILLE, IN
NPI
1518408350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN 87000738a)
Enumeration Date
2017-03-13
Last Update Date
2017-03-13
Business Address
Mr. MAURICE PATRICK BACKER LCAC
201 NW 4TH ST SUITE 107
EVANSVILLE, IN 47708-1350
Phone number: 812-422-6812
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Mailing Address
Mr. MAURICE PATRICK BACKER LCAC
201 NW 4TH ST SUITE 107
EVANSVILLE, IN 47708-1350
Phone number: 812-422-6812
Copy
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