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1174120026
GENNA ROSE BROOK
MERRILLVILLE, IN
NPI
1174120026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-20-134709)
Enumeration Date
2020-10-05
Last Update Date
2020-10-05
Business Address
GENNA ROSE BROOK BSW, RBT
251 W 84TH DR
MERRILLVILLE, IN 46410-6243
Phone number: 219-205-3463
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Mailing Address
GENNA ROSE BROOK BSW, RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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