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1871075093
HENRY PETTIGREW
GARY, IN
NPI
1871075093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-09-04
Last Update Date
2018-09-04
Business Address
HENRY PETTIGREW CADAC II
8000 MELTON RD
GARY, IN 46403-3114
Phone number: 219-938-4651
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Mailing Address
HENRY PETTIGREW CADAC II
8000 MELTON RD
GARY, IN 46403-3114
Phone number:
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