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1760737274
LISA LYNNE AUTRY
BEDFORD, IN
NPI
1760737274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34003553A)
Enumeration Date
2012-07-20
Last Update Date
2012-07-20
Business Address
Mrs. LISA LYNNE AUTRY M. S.W., A.C.S.W.
2125 16TH STREET
BEDFORD, IN 47421
Phone number: 812-275-4053
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Mailing Address
Mrs. LISA LYNNE AUTRY M. S.W., A.C.S.W.
4001 ROSEWOOD DRIVE
BLOOMINGTON, IN 47404
Phone number: 812-929-2747
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