Individual
MRS. COURTNEY STELLEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8783 OAKCREST DR, MCCORDSVILLE, IN 46055-5557
(317) 502-3779
Mailing address
8783 OAKCREST DR, MCCORDSVILLE, IN 46055-5557
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
352152
IN
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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