SHOCK THERAPY GROUP LLC

FORT WAYNE, IN
NPI1538869532
Entity TypeOrganization
Authorized ContactJENNA SHOCK
Owner
260-200-4940
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2023-03-08
Last Update Date2023-03-08
Business Address
SHOCK THERAPY GROUP LLC
1690 BROADWAY STE 10
FORT WAYNE, IN 46802-4377
Phone number: 260-200-4940
Mailing Address
SHOCK THERAPY GROUP LLC
14606 BITTERNUT LN
FORT WAYNE, IN 46814-9062
Phone number:
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