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7110 S East St Indianapolis IN 46227-8517 | |
| (317) 883-1476 | |
| (317) 883-1476 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 7110 S East St, Indianapolis, Indiana |
| Authorized Official Name and Position | Jo Anne Burkhard (VICE-PRESIDENT) |
| Authorized Official Contact | 3178831476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7110 S East St Indianapolis IN 46227-8517 Ph: (317) 883-1476 | 7110 S East St Indianapolis IN 46227-8517 Ph: (317) 883-1476 |
| NPI Number | 1154355006 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154355006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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