Individual
MITCHELL WILLIAM BLAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3580 HARGRAVE CT, HEBRON, KY 41048-6900
(855) 444-5664
Mailing address
4767 HOUSTON RD APT 3313, FLORENCE, KY 41042-4817
(614) 999-4460
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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