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Individual

MS. DEBORAH CANONICA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
803 MEADOWCREST LN, DOUGLASSVILLE, PA 19518-9231
(610) 716-5665
(610) 269-0706
Mailing address
803 MEADOWCREST LN, DOUGLASSVILLE, PA 19518-9231
(610) 716-5665
(610) 269-0706

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/16/2011
Last updated
05/16/2011
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