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JACK ENNIS PSYD, HSPP

PSYD, HSPP

Clinical Psychologist

NPI: 1194773028Individual

Specialties, Licenses & Credentials

Clinical PsychologistPrimary

Psychologist — Clinical

Code: 103TC0700X

20040742(IN)

Contact & Hours

Address
2160 N ILLINOIS ST
INDIANAPOLIS, IN 46202

Quick Facts

NPI
1194773028
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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