WILLIE TIMOTHY DONALD

GARY, IN
NPI1366931156
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2018-05-07
Last Update Date2018-05-07
Business Address
WILLIE TIMOTHY DONALD technician
4755 JEFFERSON ST
GARY, IN 46408-4530
Phone number: 219-344-8909
Mailing Address
WILLIE TIMOTHY DONALD technician
4755 JEFFERSON ST
GARY, IN 46408-4530
Phone number: 219-344-8909
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