SHANNAN JEROME

MERRILLVILLE, IN
NPI1922883016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  23-286442)
Enumeration Date2023-08-28
Last Update Date2023-08-28
Business Address
SHANNAN JEROME RBT
8200 GEORGIA ST
MERRILLVILLE, IN 46410-6227
Phone number: 219-791-1400
Mailing Address
SHANNAN JEROME RBT
8200 GEORGIA ST
MERRILLVILLE, IN 46410-6227
Phone number: 219-791-1400
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