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Individual

COURTNEY MITSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8438 INDIANA ST, MERRILLVILLE, IN 46410-6357
(219) 525-4573
Mailing address
8438 INDIANA ST, MERRILLVILLE, IN 46410-6357

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-34259
IN

Other

Enumeration date
11/05/2020
Last updated
07/10/2024
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