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Individual

ANN STORY HUGHES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS ED, TBVI

Contact information

Practice address
3633 BEACH BLVD, CICERO, IN 46034-9699
(317) 513-4115
(502) 489-2966
Mailing address
3633 BEACH BLVD, CICERO, IN 46034-9699
(317) 513-4115
(502) 489-2966

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
462256
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8941-42-2961
INDIANA OPERATORS LICENSE
IN
Enumeration date
04/04/2018
Last updated
04/04/2018
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