Individual
MARY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2030 CHESTER BLVD, RICHMOND, IN 47374-1215
(765) 962-4663
Mailing address
1411 W COUNTY LINE RD STE A, GREENWOOD, IN 46142-5250
(800) 486-4449
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005338A
IN
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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