AZAR NIKRAVESH

BLOOMINGTON, IN
NPI1861777336
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-10-17
Last Update Date2011-10-17
Business Address
-- AZAR NIKRAVESH
600 N JORDAN AVE
BLOOMINGTON, IN 47405-3190
Phone number: 812-855-7338
Mailing Address
-- AZAR NIKRAVESH
600 N JORDAN AVE
BLOOMINGTON, IN 47405-3190
Phone number: 812-855-7338
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