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1821646076
JONATHAN THOMAS LAUCELLA
BLOOMINGTON, IN
NPI
1821646076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34009643A)
Enumeration Date
2019-08-30
Last Update Date
2022-03-09
Business Address
JONATHAN THOMAS LAUCELLA MSW, LCSW
1332 W ARCH HAVEN AVE STE A
BLOOMINGTON, IN 47403-2078
Phone number: 317-656-9613
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Mailing Address
JONATHAN THOMAS LAUCELLA MSW, LCSW
1332 W ARCH HAVEN AVE STE A
BLOOMINGTON, IN 47403-2078
Phone number: 317-656-9613
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