Individual
MARY GRACE DUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 W USTICK RD STE 110, MERIDIAN, ID 83646-7740
(208) 908-8129
Mailing address
1510 W USTICK RD STE 110, MERIDIAN, ID 83646-7740
(208) 908-8129
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-356775
ID
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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