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1790189264
MICHELLE MARIE HUDIMAC
DAYTONA BEACH, FL
NPI
1790189264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2014-10-13
Last Update Date
2019-11-08
Business Address
MICHELLE MARIE HUDIMAC M.Ed.
201 THORNBERRY BRANCH LN
DAYTONA BEACH, FL 32124-3652
Phone number: 386-872-4892
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Mailing Address
MICHELLE MARIE HUDIMAC M.Ed.
3785 MAPLE GROVE CT
PORT ORANGE, FL 32129-8618
Phone number: 814-288-9648
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