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1942737770
MARIE MACK
GARY, IN
NPI
1942737770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: IL 19412)
Enumeration Date
2017-05-11
Last Update Date
2017-05-11
Business Address
MARIE MACK CADC
8000 MELTON RD
GARY, IN 46403-3114
Phone number: 219-938-4651
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Mailing Address
MARIE MACK CADC
8000 MELTON RD
GARY, IN 46403-3114
Phone number:
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