Individual
MISS AUDREY ROSE KONOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 N HANCOCK ST, PHILADELPHIA, PA 19123-2334
(267) 807-0550
Mailing address
743 POLY DR, BILLINGS, MT 59102-1935
(773) 996-0108
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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