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Organization
ALL KIDS CAN THERAPY SERVICES LLC
Active
Organization
ALL KIDS CAN THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MARIE OVERPECK (OWNER)
(812) 265-8226
Entity
Organization
Contact information
Practice address
2420 WILSON AVE, MADISON, IN 47250-2135
(812) 265-8226
Mailing address
2420 WILSON AVE, MADISON, IN 47250-2135
(812) 265-8226
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200992650
—
IN
Enumeration date
06/15/2018
Last updated
06/15/2018
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