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1912660507
MALISA D WHITE
INDIANAPOLIS, IN
NPI
1912660507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-10-20
Last Update Date
2021-10-20
Business Address
MALISA D WHITE
1531 WELLINGTON AVE
INDIANAPOLIS, IN 46219-3844
Phone number: 317-414-6294
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Mailing Address
MALISA D WHITE
1531 WELLINGTON AVE
INDIANAPOLIS, IN 46219-3844
Phone number: 317-414-6294
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