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1730810342
NICAELI GRACE THEOBALD
INDIANAPOLIS, IN
NPI
1730810342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-06-23
Last Update Date
2022-06-23
Business Address
Ms. NICAELI GRACE THEOBALD MSW
5638 PROFESSIONAL CIR
INDIANAPOLIS, IN 46241-5042
Phone number: 888-714-1927
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Mailing Address
Ms. NICAELI GRACE THEOBALD MSW
5241 W 15TH ST
INDIANAPOLIS, IN 46224-6415
Phone number: 317-987-4018
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