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1740834324
ANNA K DETLEFSEN
GRANGER, IN
NPI
1740834324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34008564A)
Enumeration Date
2019-07-31
Last Update Date
2019-07-31
Business Address
ANNA K DETLEFSEN LCSW
50740 PRINCESS WAY STE 500
GRANGER, IN 46530-4339
Phone number: 574-607-7051
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Mailing Address
ANNA K DETLEFSEN LCSW
50740 PRINCESS WAY STE 500
GRANGER, IN 46530-4339
Phone number: 574-607-7051
Copy
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