Individual
MARIYAH KRYSTIN FALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 UNION ST, SPRINGFIELD, VT 05156-3133
(802) 885-5155
Mailing address
PO BOX 955, GLEN, NH 03838-0955
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VT
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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