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1528706975
ANTOINETTE MATLOCK
SOUTH BEND, IN
NPI
1528706975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-22-215439)
Enumeration Date
2022-05-25
Last Update Date
2022-05-25
Business Address
ANTOINETTE MATLOCK RBT
17390 DUGDALE DR STE 100
SOUTH BEND, IN 46635-1512
Phone number: 574-400-2169
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Mailing Address
ANTOINETTE MATLOCK RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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