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Organization
CHILD THRIVE, LLC
Active
Organization
CHILD THRIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA BRANDON PSYD (OWNER)
(219) 779-7339
Entity
Organization
Contact information
Practice address
7863 BROADWAY STE 239, MERRILLVILLE, IN 46410-5554
(219) 779-7339
Mailing address
7863 BROADWAY STE 239, MERRILLVILLE, IN 46410-5554
(219) 779-7339
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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