COREY JAMES WALLACE

CHESTERTON, IN
NPI1598640971
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2025-08-06
Last Update Date2025-08-06
Business Address
COREY JAMES WALLACE RBT
442 SAND CREEK DR STE 101
CHESTERTON, IN 46304-1596
Phone number: 219-359-3272
Mailing Address
COREY JAMES WALLACE RBT
442 SAND CREEK DR STE 101
CHESTERTON, IN 46304-1596
Phone number: