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Individual

MRS. KENDALL SHAWN HANTELMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1100 E MARKET ST, LOUISVILLE, KY 40206-1838
(502) 596-1000
Mailing address
507 CRESTVIEW CT, JEFFERSONVILLE, IN 47130-4409
(317) 379-3265

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
08/09/2011
Last updated
08/09/2011
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