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Individual

MRS. MARY TERESA FRANCISCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
615 N 18TH ST, LAFAYETTE, IN 47904-3434
(765) 423-5361
(765) 742-8272
Mailing address
16322 OLDENBURG CIR, WESTFIELD, IN 46074-8263
(317) 896-9503

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
05/19/2009
Last updated
05/19/2009
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