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1881345007
LISA MARIE HERNANDEZ
MERRILLVILLE, IN
NPI
1881345007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-01-11
Last Update Date
2022-01-11
Business Address
LISA MARIE HERNANDEZ CADACII
8500 BROADWAY STE H
MERRILLVILLE, IN 46410-7006
Phone number: 219-769-7710
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Mailing Address
LISA MARIE HERNANDEZ CADACII
8500 BROADWAY STE H
MERRILLVILLE, IN 46410-7006
Phone number: 219-769-7710
Copy
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