Individual
DEBORAH POLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 N 14TH ST, NEW CASTLE, IN 47362-4311
(765) 521-2450
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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