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1619335163
JACQUELINE VISSING
CHARLESTOWN, IN
NPI
1619335163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-01-29
Last Update Date
2016-01-29
Business Address
Ms. JACQUELINE VISSING
7509 CHARLESTOWN PIKE
CHARLESTOWN, IN 47111-9623
Phone number: 812-256-4686
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Mailing Address
Ms. JACQUELINE VISSING
7509 CHARLESTOWN PIKE
CHARLESTOWN, IN 47111-9623
Phone number:
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