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Organization
SHELLY AND SHELLY'S LLC
Active
Organization
SHELLY AND SHELLY'S LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY L MONFORT (MEMBER)
(765) 546-1216
Entity
Organization
Contact information
Practice address
2335 S 225 E, WINCHESTER, IN 47394-8771
(765) 546-1216
Mailing address
2335 S 225 E, WINCHESTER, IN 47394-8771
(765) 546-1216
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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