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1760788913
BRET DAVIS EARTHEART
BLOOMINGTON, IN
NPI
1760788913
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Other Name
BRET DAVIS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34006996A)
Enumeration Date
2011-02-07
Last Update Date
2018-11-29
Business Address
BRET DAVIS EARTHEART MSW, LCSW
4307 S LEONARD SPRINGS RD
BLOOMINGTON, IN 47403-4078
Phone number: 812-345-2176
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Mailing Address
BRET DAVIS EARTHEART MSW, LCSW
4307 S LEONARD SPRINGS RD
BLOOMINGTON, IN 47403-4078
Phone number: 812-345-2176
Copy
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