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Organization

WORKING FOR INDEPENDENCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROY J PAXTON (INTERM DIRECTOR)
(812) 858-5366
Entity
Organization

Contact information

Practice address
5366 VANN ROAD, NEWBURGH, IN 47630-8481
(812) 858-5366
(812) 858-6950
Mailing address
5366 VANN ROAD, NEWBURGH, IN 47630-8481
(812) 858-5366
(812) 858-6950

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
10/23/2006
Last updated
08/22/2020
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