LARAE DERRICOTE

INDIANAPOLIS, IN
NPI1770212797
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-06-06
Last Update Date2022-06-06
Business Address
LARAE DERRICOTE
1531 WELLINGTON AVE
INDIANAPOLIS, IN 46219-3844
Phone number: 317-414-6294
Mailing Address
LARAE DERRICOTE
10141 SANDCHERRY LN
INDIANAPOLIS, IN 46236-6337
Phone number:
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