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1962778076
TARITA CLEMONS
INDIANAPOLIS, IN
NPI
1962778076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2012-03-23
Last Update Date
2016-02-24
Business Address
TARITA CLEMONS
2626 E 46TH ST STE J
INDIANAPOLIS, IN 46205-2380
Phone number: 317-475-9066
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Mailing Address
TARITA CLEMONS
4936 E 40TH ST
INDIANAPOLIS, IN 46226-4507
Phone number:
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