Individual
DEANDREA RAGLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 W GLEN PARK AVE, GRIFFITH, IN 46319-2028
(219) 501-1729
Mailing address
8052 MATTERHORN LN APT D115, CROWN POINT, IN 46307-1153
(219) 361-8265
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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