ELLIE GRACE SOUTHWORTH

CROWN POINT, IN
NPI1700771615
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2025-06-11
Last Update Date2025-06-11
Business Address
ELLIE GRACE SOUTHWORTH
205 W FRANCISCAN DR
CROWN POINT, IN 46307-4802
Phone number: 888-419-2576
Mailing Address
ELLIE GRACE SOUTHWORTH
205 W FRANCISCAN DR
CROWN POINT, IN 46307-4802
Phone number:
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