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1992535751
MALLORY FEDERICK
NEWBURGH, IN
NPI
1992535751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-24-362822)
Enumeration Date
2024-08-06
Last Update Date
2024-08-06
Business Address
MALLORY FEDERICK
4655 ROSEBUD LN
NEWBURGH, IN 47630-9366
Phone number: 812-213-8031
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Mailing Address
MALLORY FEDERICK
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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