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Organization
PATCHWORK KIDS LLC
Active
Organization
PATCHWORK KIDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA BIRD (OWNER)
(903) 288-1778
Entity
Organization
Contact information
Practice address
2318 HOLSUM CIR, GREENVILLE, TX 75401-5901
(903) 233-4395
(972) 584-6117
Mailing address
2318 HOLSUM CIR, GREENVILLE, TX 75401-5901
(903) 233-4395
(972) 584-6117
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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