ROBERT DALE OWENS

LA PORTE, IN
NPI1528381407
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.130090)
Enumeration Date2010-03-08
Last Update Date2018-10-01
Business Address
Mr. ROBERT DALE OWENS
705 HARRISON ST
LA PORTE, IN 46350
Phone number: 219-229-0109
Mailing Address
Mr. ROBERT DALE OWENS
705 HARRISON ST
LA PORTE, IN 46350-3417
Phone number: 219-229-0109
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