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1891779989
DAVID JOHN CARRICO
BLOOMINGTON, IN
NPI
1891779989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34002533A)
Enumeration Date
2005-12-01
Last Update Date
2017-11-21
Business Address
DAVID JOHN CARRICO LCSW
601 W 2ND ST
BLOOMINGTON, IN 47403-2317
Phone number: 812-353-9250
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Mailing Address
DAVID JOHN CARRICO LCSW
601 W 2ND ST
BLOOMINGTON, IN 47403-2317
Phone number: 812-353-9250
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