Individual
AUDREY FRANCES DEDMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2825 W TOWN CENTER CIR, KINGWOOD, TX 77339-3734
(281) 570-2420
Mailing address
2825 W TOWN CENTER CIR, KINGWOOD, TX 77339-3734
(281) 570-2420
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21--174987
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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