Individual
DAN CHARLES MARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 W JACKSON ST, KOKOMO, IN 46901-4529
(765) 419-0411
Mailing address
4200 MICHAEL DR, KOKOMO, IN 46902-4730
(765) 480-1245
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-256449
IN
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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