Individual
SAMANTHA ROADRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8762 LOUISIANA ST STE J, MERRILLVILLE, IN 46410-7190
(219) 472-0628
(219) 750-9287
Mailing address
8762 LOUISIANA ST STE J, MERRILLVILLE, IN 46410-7190
(219) 472-0628
(219) 750-9287
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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