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1831353911
LYDIA RUTH BANTON
INDIANAPOLIS, IN
NPI
1831353911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39002262A)
Enumeration Date
2008-07-17
Last Update Date
2014-03-12
Business Address
-- LYDIA RUTH BANTON LMHC
5470 EAST 16TH STREET
INDIANAPOLIS, IN 46218-4861
Phone number: 317-355-5394
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Mailing Address
-- LYDIA RUTH BANTON LMHC
6626 E 75TH STREET SUITE 500
INDIANAPOLIS, IN 46250-2890
Phone number: 317-621-7561
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