TIA CARMEN FORTHOFER

INDIANAPOLIS, IN
NPI1477144897
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: IN  29001937A)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2021-01-28
Last Update Date2021-01-28
Business Address
TIA CARMEN FORTHOFER
8350 CRAIG ST
INDIANAPOLIS, IN 46250-3593
Phone number: 317-578-0410
Mailing Address
TIA CARMEN FORTHOFER
8350 CRAIG ST
INDIANAPOLIS, IN 46250-3593
Phone number: 317-578-0410