Individual
CARLY DOBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1207 AZALEA ST SE, DEMOTTE, IN 46310-9700
(219) 395-6419
Mailing address
1207 AZALEA ST SE, DEMOTTE, IN 46310-9700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002637A
IN
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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