Individual
MRS. MISTY DAWN LADUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22107 FABCO RD, WATERTOWN, NY 13601-1737
(315) 681-6669
Mailing address
PO BOX 506, SACKETS HARBOR, NY 13685-0506
(315) 836-7401
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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