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1952627077
LUCAS PHILLIPS
INDIANAPOLIS, IN
NPI
1952627077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-04-14
Last Update Date
2010-04-14
Business Address
-- LUCAS PHILLIPS
2626 E 46TH ST STE J
INDIANAPOLIS, IN 46205-2380
Phone number: 317-475-9066
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Mailing Address
-- LUCAS PHILLIPS
3851 GABLE LANE DR
INDIANAPOLIS, IN 46228-6331
Phone number:
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