Amanda Joy Shock, CCLS, DT

NPI #1245713965 in Pierceton, Indiana

Provider Information

NPI Number
1245713965
Entity Type
Individual
Name
Amanda Joy Shock, CCLS, DT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Developmental Therapist
Credential
CCLS, DT
Enumeration Date
Sep 9, 2018
Last Updated
Sep 9, 2018

Practice Location

Address
8468 E 350 N
State
Indiana
ZIP Code
46562-9106
Phone
(317) 965-1216

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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