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1790894517
JOHN J KISH
LAFAYETTE, IN
NPI
1790894517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34004560A)
Enumeration Date
2006-08-29
Last Update Date
2014-04-08
Business Address
-- JOHN J KISH LCSW
3660 ROME DR
LAFAYETTE, IN 47905-4488
Phone number: 765-446-9394
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Mailing Address
-- JOHN J KISH LCSW
2493 GALA CT
WEST LAFAYETTE, IN 47906
Phone number: 765-446-9394
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