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1932838216
MADISON CLARK
MARION, IN
NPI
1932838216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-22-218654)
Enumeration Date
2022-06-10
Last Update Date
2022-06-10
Business Address
MADISON CLARK RBT
2513 W 2ND ST
MARION, IN 46952-3241
Phone number: 765-662-0490
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Mailing Address
MADISON CLARK RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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