Individual
FALLON MCCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2124 W JACKSON ST, MUNCIE, IN 47303-4729
(765) 439-0150
Mailing address
2124 W JACKSON ST, MUNCIE, IN 47303-4729
(765) 439-0150
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IN
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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