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1811221393
SALLY E HARRIS
ELKHART, IN
NPI
1811221393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-09-30
Last Update Date
2009-09-30
Business Address
-- SALLY E HARRIS CADAC IV
2600 OAKLAND AVE
ELKHART, IN 46517-1533
Phone number: 574-533-1234
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Mailing Address
-- SALLY E HARRIS CADAC IV
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234
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