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Individual

AUDREY VIRGINIA MOTTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
335 SW 17TH ST, RICHMOND, IN 47374-5132
(812) 361-1360
Mailing address
335 SW 17TH ST, RICHMOND, IN 47374-5132

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/18/2025
Last updated
02/18/2025
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