Individual
MARLA JENNINGS MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2791 N LEBANON ST, LEBANON, IN 46052-2299
(765) 483-9622
Mailing address
301 ARTMAN AVE, LEBANON, IN 46052-1216
(317) 432-9900
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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