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Individual

ANTHONY RADFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1545 W MOCKINGBIRD LN, #4000, DALLAS, TX 75235-5014
(214) 821-6505
Mailing address
6119 GREENVILLE AVE # 199, DALLAS, TX 75206-1910
(816) 525-0251

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/24/2017
Last updated
03/24/2017
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