MICHAEL D PRATHER

KOKOMO, IN
NPI1740002450
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-10-25
Last Update Date2024-10-25
Business Address
MICHAEL D PRATHER CADAC IV
3423 S LAFOUNTAIN ST STE C
KOKOMO, IN 46902-3857
Phone number: 765-598-4947
Mailing Address
MICHAEL D PRATHER CADAC IV
7313 BRADBURY AVE
FORT WAYNE, IN 46809-2733
Phone number: 260-267-2466
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