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Individual

AMINATA IRENE FOFANAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1777 W STONES CROSSING RD, GREENWOOD, IN 46143-7899
(317) 810-6297
Mailing address
7415 MOULTRIE DR, INDIANAPOLIS, IN 46217-5411

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
IN

Other

Enumeration date
10/16/2025
Last updated
10/16/2025
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