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Individual

CAITLIN SONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12938 COLDWATER RD, FORT WAYNE, IN 46845-9517
(260) 619-4522
Mailing address
12938 COLDWATER RD, FORT WAYNE, IN 46845-9517

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12581861
IN

Other

Enumeration date
07/23/2025
Last updated
07/23/2025
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