Individual
CHARLES FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10419 CALUMET AVE, MUNSTER, IN 46321-4059
(219) 301-9716
Mailing address
2028 PARK WEST BLVD, GRIFFITH, IN 46319-1284
(219) 877-5614
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
21196923
IN
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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