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1588384770
MOLLY ROSE ISLES
TERRE HAUTE, IN
NPI
1588384770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN C2-51270)
Enumeration Date
2022-08-30
Last Update Date
2022-08-30
Business Address
MOLLY ROSE ISLES CADAC II
500 FARRINGTON ST
TERRE HAUTE, IN 47807-5095
Phone number: 812-917-0068
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Mailing Address
MOLLY ROSE ISLES CADAC II
4535 YUMA RD
WEST TERRE HAUTE, IN 47885-9654
Phone number: 765-505-3156
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