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1912741703
JACOB BOO
INDIANAPOLIS, IN
NPI
1912741703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39004101A)
Enumeration Date
2024-06-25
Last Update Date
2024-06-25
Business Address
JACOB BOO
8320 MADISON AVE
INDIANAPOLIS, IN 46227-6066
Phone number: 317-882-5122
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Mailing Address
JACOB BOO
ADULT AND CHILD MENTAL HEALTH CENTER 8320 MADISON AVE
INDIANAPOLIS, IN 46227
Phone number:
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