Individual
MARY KATHERINE BROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6487 W CASTLE PINES WAY, TUCSON, AZ 85757-1503
(520) 222-6538
Mailing address
1718 E SPEEDWAY BLVD # 4177, TUCSON, AZ 85719-4515
(520) 222-6538
(520) 300-7240
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-293558
AZ
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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