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1801412895
LISA DIANE CARRICO
INDIANAPOLIS, IN
NPI
1801412895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34002668A)
Enumeration Date
2020-06-25
Last Update Date
2020-06-25
Business Address
LISA DIANE CARRICO
6640 INTECH BLVD STE 195
INDIANAPOLIS, IN 46278-2014
Phone number: 317-295-0608
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Mailing Address
LISA DIANE CARRICO
6640 INTECH BLVD STE 195
INDIANAPOLIS, IN 46278-2014
Phone number: 317-295-0608
Copy
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