Individual
KAREN MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2340 N 20TH ST, LAFAYETTE, IN 47904-1156
(765) 714-8203
Mailing address
2340 N 20TH ST, LAFAYETTE, IN 47904-1156
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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