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1952970196
SHAWNEE BROCK
EDGEWOOD, KY
NPI
1952970196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: KY RBT-21-172823)
Enumeration Date
2021-06-22
Last Update Date
2021-06-22
Business Address
SHAWNEE BROCK RBT
2904 FOLTZ DR
EDGEWOOD, KY 41017-2525
Phone number: 859-795-3000
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Mailing Address
SHAWNEE BROCK RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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