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1558159434
POLLY KING
LAFAYETTE, IN
NPI
1558159434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: IN 4102)
Enumeration Date
2025-04-29
Last Update Date
2025-04-29
Business Address
POLLY KING CPSP
914 SOUTH ST
LAFAYETTE, IN 47901-1416
Phone number: 765-742-1800
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Mailing Address
POLLY KING CPSP
811 S 23RD ST
LAFAYETTE, IN 47905-1620
Phone number: 773-354-0274
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