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1760566046
CHUCK CICHANOWICZ
LAFAYETTE, IN
NPI
1760566046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39000389A)
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
-- CHUCK CICHANOWICZ LMHC,MS,M.Div,IMAC,
3768 ROME DRIVE
LAFAYETTE, IN 47905
Phone number: 765-449-9115
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Mailing Address
-- CHUCK CICHANOWICZ LMHC,MS,M.Div,IMAC,
106 CANDLELIGHT PLZ
WEST LAFAYETTE BRA, IN 47906-5628
Phone number: 765-449-9117
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