MOLLY BLAKE

FORT WAYNE, IN
NPI1346825148
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  RBT-21-159694)
Enumeration Date2021-03-12
Last Update Date2021-03-12
Business Address
MOLLY BLAKE RBT
4422 E STATE BLVD
FORT WAYNE, IN 46815-6917
Phone number: 260-471-9263
Mailing Address
MOLLY BLAKE RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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