LYDIANN MACK

FORT WAYNE, IN
NPI1376355800
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  RBT-21-161705)
Enumeration Date2025-01-22
Last Update Date2025-01-22
Business Address
LYDIANN MACK RBT
12938 COLDWATER RD
FORT WAYNE, IN 46845-9517
Phone number: 317-815-5501
Mailing Address
LYDIANN MACK RBT
6966 COUNTY ROAD 62
SAINT JOE, IN 46785-9721
Phone number:
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