Individual
MRS. DORIS JEAN BICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA , MS
Contact information
Practice address
1115 S 8TH ST, GOSHEN, IN 46526-4307
(574) 534-0737
(574) 534-0737
Mailing address
1115 S 8TH ST, GOSHEN, IN 46526-4307
(574) 534-0737
(574) 534-0737
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
907788
IN
Other
Enumeration date
05/02/2009
Last updated
05/02/2009
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