Individual
JULIA KELLE MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8320 FLICKER CT, INDIANAPOLIS, IN 46237-9145
(317) 361-7182
Mailing address
8320 FLICKER CT, INDIANAPOLIS, IN 46237-9145
(317) 361-7182
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IN
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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