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1073122388
AVERY MUMMA
GREENWOOD, IN
NPI
1073122388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-18-53664)
Enumeration Date
2020-07-23
Last Update Date
2020-07-23
Business Address
AVERY MUMMA MA
21 S PARK BLVD STE 21
GREENWOOD, IN 46143-8838
Phone number: 317-449-2104
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Mailing Address
AVERY MUMMA MA
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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