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1588867543
LACY DETTERICH
INDIANAPOLIS, IN
NPI
1588867543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39001872A)
Enumeration Date
2007-06-07
Last Update Date
2007-07-08
Business Address
-- LACY DETTERICH LMHC
8320 MADISON AVE
INDIANAPOLIS, IN 46227-6066
Phone number: 317-882-5122
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Mailing Address
-- LACY DETTERICH LMHC
8320 MADISON AVE
INDIANAPOLIS, IN 46227-6066
Phone number: 317-882-5122
Copy
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