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1609282979
THALLISSIA MULDROW
GARY, IN
NPI
1609282979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2014-07-08
Last Update Date
2014-07-08
Business Address
THALLISSIA MULDROW
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
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Mailing Address
THALLISSIA MULDROW
10436 S FOREST AVE
CHICAGO, IL 60628-2841
Phone number: 219-885-4264
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