Individual
MRS. MOLLY LORRAINE DUBUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
632 EASTERN BLVD, CLARKSVILLE, IN 47129
(317) 249-2242
(317) 663-1175
Mailing address
632 EASTERN BLVD, CLARKSVILLE, IN 47129-2463
(317) 249-2242
(317) 663-1175
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA# 1-08-4313
—
Other
Enumeration date
07/01/2009
Last updated
10/15/2019
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