Organization
STAND LOOK ASK WALK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE ELIZABETH GOODER M ED RD (MEMBER)
(317) 528-4387
Entity
Organization
Contact information
Practice address
10405 FOX RUN CT, FISHERS, IN 46037-9257
(317) 529-4387
Mailing address
10405 FOX RUN CT, FISHERS, IN 46037-9257
(317) 529-4387
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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