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Organization
URBAN MINISTRY LLC
Active
Organization
URBAN MINISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BWANA MKUBWA CLEMENTS MSW (PRESIDENT)
(317) 366-5631
Entity
Organization
Contact information
Practice address
717 E 44TH ST, INDIANAPOLIS, IN 46205-1905
(317) 366-5631
Mailing address
717 E 44TH ST, INDIANAPOLIS, IN 46205-1905
(317) 366-5631
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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