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Individual

MR. RADCLIFFE J V GANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4245 LAFAYETTE RD, INDIANAPOLIS, IN 46254-2409
(463) 248-5072
Mailing address
4245 LAFAYETTE RD, INDIANAPOLIS, IN 46254-2409
(463) 248-5072

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
IN
104100000X
Social Worker
IN
106S00000X
Behavior Technician
IN
171M00000X
Case Manager/Care Coordinator
IN
172A00000X
Driver
IN
372500000X
Chore Provider
IN
372600000X
Adult Companion
Primary
IN
374U00000X
Home Health Aide
IN

Other

Enumeration date
07/05/2024
Last updated
07/05/2024
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