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1760989040
LESA GAY NELSON
MARION, IN
NPI
1760989040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN CADACII1935)
Enumeration Date
2018-04-12
Last Update Date
2018-04-12
Business Address
LESA GAY NELSON CADAC 11
317 S NORTON ST
MARION, IN 46952-3296
Phone number: 765-664-0101
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Mailing Address
LESA GAY NELSON CADAC 11
317 S NORTON ST
MARION, IN 46952-3296
Phone number: 765-664-0101
Copy
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