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Individual

DENISE HUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7 RIO SAN JOSE, LAGUNA, NM 87026
(505) 250-5523
Mailing address
7 RIO SAN JOSE, LAGUNA, NM 87026
(505) 250-5523

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D10200522
AZ DR LIC
AZ
Enumeration date
12/31/2019
Last updated
12/31/2019
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