ELAINE ASHLYN EVANICH

LOGANSPORT, IN
NPI1386129773
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2018-10-01
Last Update Date2018-10-01
Business Address
Miss ELAINE ASHLYN EVANICH
2601 GEORGE ST
LOGANSPORT, IN 46947-3810
Phone number: 574-702-2204
Mailing Address
Miss ELAINE ASHLYN EVANICH
2601 GEORGE ST
LOGANSPORT, IN 46947-3810
Phone number: 574-702-2204
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