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Individual

REBECCA MARIE SOMODI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DT-ED

Contact information

Practice address
332 W 806 N, VALPARAISO, IN 46385-7973
(219) 764-4888
(219) 764-7676
Mailing address
PO BOX 2385, PORTAGE, IN 46368-5885
(219) 764-4888
(219) 764-7676

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
12/22/2015
Last updated
12/22/2015
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