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Organization
WISHKIDS INTERNATIONAL
Active
Organization
WISHKIDS INTERNATIONAL
Active
Other names
Wish Therapeutic Services (WTS)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP MAZORODZE BEHAVIOR CORDINATOR (PRESIDENT)
(317) 295-9441
Entity
Organization
Contact information
Practice address
754 N SHERMAN DR, SUITE 205, INDIANAPOLIS, IN 46201-2575
(317) 295-9441
(317) 295-9441
Mailing address
4409 EAGLE CREEK PKWY APT 103, INDIANAPOLIS, IN 46254-4326
(317) 295-9441
(317) 295-9441
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IN
Other
Enumeration date
07/31/2006
Last updated
07/21/2022
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