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1932752573
ERIC B JIMENEZ
MERRILLVILLE, IN
NPI
1932752573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39003249A)
Enumeration Date
2019-07-23
Last Update Date
2019-07-23
Business Address
Mr. ERIC B JIMENEZ LMHC
8555 TAFT ST
MERRILLVILLE, IN 46410-6123
Phone number: 219-769-4005
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Mailing Address
Mr. ERIC B JIMENEZ LMHC
8555 TAFT ST
MERRILLVILLE, IN 46410-6123
Phone number: 219-769-4005
Copy
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