Individual
MRS. MICHELLE LYNN WEDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
719 12TH ST, KAMIAH, ID 83536-5325
(208) 790-3014
Mailing address
719 12TH ST, KAMIAH, ID 83536-5325
(208) 790-3014
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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