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1841701661
SHANEL WILKES
GARY, IN
NPI
1841701661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-10-19
Last Update Date
2017-10-19
Business Address
SHANEL WILKES
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
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Mailing Address
SHANEL WILKES
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number:
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