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Individual
LAUREN MICHELE DEGROAT
Active
Individual
LAUREN MICHELE DEGROAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-30356
HI
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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