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Organization
SHADY GROVE BEHAVIORAL HEALTH, LLC
Active
Organization
SHADY GROVE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE DUE LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(317) 709-3402
Entity
Organization
Contact information
Practice address
3786 HARRISON CROSSING LN, GREENWOOD, IN 46142-7616
(317) 709-3402
Mailing address
3786 HARRISON CROSSING LN, GREENWOOD, IN 46142-7616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003025A
IN
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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