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Individual

ELLYN M MCCALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4740 KINGSWAY DR STE 33, INDIANAPOLIS, IN 46205-1521
(727) 512-2558
Mailing address
4740 KINGSWAY DR STE 33, INDIANAPOLIS, IN 46205-1521
(727) 512-2558

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
IN

Other

Enumeration date
09/22/2018
Last updated
09/22/2018
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