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1952075574
CHILD THERAPY LAB LLC
SOUTH BEND, IN
NPI
1952075574
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Entity Type
Organization
Authorized Contact
RONIQUA TESHAE ZIMMERMANN
Owner/Director
317-662-4403
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2021-08-06
Last Update Date
2021-08-06
Business Address
CHILD THERAPY LAB LLC
53174 FLOWING STREAM CT
SOUTH BEND, IN 46628-9034
Phone number: 317-662-4403
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Mailing Address
CHILD THERAPY LAB LLC
53174 FLOWING STREAM CT
SOUTH BEND, IN 46628-9034
Phone number: 317-662-4403
Copy
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