Individual
ANDREA KUEHNHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
931 W WATER ST, PORTLAND, IN 47371-1755
(260) 726-9348
(260) 726-9340
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0350
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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