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1841910239
GRANVILLE DAVID DECKER
EVANSVILLE, IN
NPI
1841910239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34006043A)
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
Mr. GRANVILLE DAVID DECKER LCSW
4216 OXMOOR RD
EVANSVILLE, IN 47715-1314
Phone number: 812-568-8465
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Mailing Address
Mr. GRANVILLE DAVID DECKER LCSW
4216 OXMOOR RD
EVANSVILLE, IN 47715-1314
Phone number: 812-568-8465
Copy
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