KODY CARSON-MICHELL HENRY

SOUTH BEND, IN
NPI1295513141
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  7350176284)
Enumeration Date2023-09-20
Last Update Date2023-09-20
Business Address
KODY CARSON-MICHELL HENRY RBT
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615-2635
Phone number: 574-289-4831
Mailing Address
KODY CARSON-MICHELL HENRY RBT
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615-2635
Phone number: 574-289-4831
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