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1982026548
THOMAS PRENDERGAST
INDIANAPOLIS, IN
NPI
1982026548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN 87000077A)
Enumeration Date
2014-01-15
Last Update Date
2014-01-15
Business Address
-- THOMAS PRENDERGAST LCAC
8150 MADISON AVE
INDIANAPOLIS, IN 46227-6076
Phone number: 317-887-3290
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Mailing Address
-- THOMAS PRENDERGAST LCAC
8150 MADISON AVE
INDIANAPOLIS, IN 46227-6076
Phone number: 317-887-3290
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