Individual
AVA JOAN MCCORQUODALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1143 E 181ST ST, WESTFIELD, IN 46074-8926
(317) 432-2240
Mailing address
1143 E 181ST ST, WESTFIELD, IN 46074-8926
(317) 432-2240
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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