Individual
MACKENZIE KASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7308 WOOD DUCK CT, INDIANAPOLIS, IN 46254-5818
(219) 218-3526
Mailing address
7308 WOOD DUCK CT, INDIANAPOLIS, IN 46254-5818
(219) 218-3526
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IN
Other
Enumeration date
09/08/2019
Last updated
09/08/2019
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