Individual
INDIRA DUTCHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 PIEDMONT RD NE APT 4114, ATLANTA, GA 30324-3455
(202) 894-0532
Mailing address
2323 PIEDMONT RD NE APT 4114, ATLANTA, GA 30324-3455
(202) 894-0532
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
GA
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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