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Individual
JAMIE LYNNE DIRKS-PHELPS
Active
Individual
JAMIE LYNNE DIRKS-PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
F5661892
CA
Other
Enumeration date
08/17/2018
Last updated
01/17/2023
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