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1811435027
JERMAINE ANTHONY
MERRILLVILLE, IN
NPI
1811435027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2017-02-08
Last Update Date
2020-01-22
Business Address
JERMAINE ANTHONY MSW, ICRADC, SAP
8892 LOUISANA STREET, SUITE D-2
MERRILLVILLE, IN 46410-4641
Phone number: 630-677-0450
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Mailing Address
JERMAINE ANTHONY MSW, ICRADC, SAP
PO BOX 2964
EAST CHICAGO, IN 46312-7964
Phone number: 630-677-0450
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