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1578615894
BERNARD JOSEPH BACA
INDIANAPOLIS, IN
NPI
1578615894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34003938A)
Enumeration Date
2007-01-17
Last Update Date
2007-07-08
Business Address
Dr. BERNARD JOSEPH BACA Ph.D
6956 OAK LN
INDIANAPOLIS, IN 46220-1036
Phone number: 317-255-5078
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Mailing Address
Dr. BERNARD JOSEPH BACA Ph.D
6956 OAK LN
INDIANAPOLIS, IN 46220-1036
Phone number: 317-255-5078
Copy
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