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1306681945
ETHAN FLAHERTY
MERRILLVILLE, IN
NPI
1306681945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN 24-354553)
Enumeration Date
2024-06-26
Last Update Date
2024-06-26
Business Address
ETHAN FLAHERTY
8200 GEORGIA ST
MERRILLVILLE, IN 46410-6227
Phone number: 219-791-1400
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Mailing Address
ETHAN FLAHERTY
8200 GEORGIA ST
MERRILLVILLE, IN 46410-6227
Phone number: 219-791-1400
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