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1538787288
WAYNE M ISAILOVICH
MERRILLVILLE, IN
NPI
1538787288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-07-09
Last Update Date
2020-07-09
Business Address
WAYNE M ISAILOVICH LAC
7805 TAFT ST STE E
MERRILLVILLE, IN 46410-5237
Phone number: 219-756-3791
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Mailing Address
WAYNE M ISAILOVICH LAC
7805 TAFT ST STE E
MERRILLVILLE, IN 46410-5237
Phone number: 219-756-3791
Copy
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