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1699545004
DAVID MARTIN DERENGOWSKI
MERRILLVILLE, IN
NPI
1699545004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 88001658A)
Enumeration Date
2024-01-05
Last Update Date
2024-01-05
Business Address
DAVID MARTIN DERENGOWSKI
8200 GEORGIA ST
MERRILLVILLE, IN 46410-6227
Phone number: 219-791-1400
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Mailing Address
DAVID MARTIN DERENGOWSKI
8200 GEORGIA ST
MERRILLVILLE, IN 46410-6227
Phone number: 219-791-1400
Copy
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