Individual
TINA MARIE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 8TH ST, SELINSGROVE, PA 17870-1603
(570) 847-5269
Mailing address
45 ROUTE 11, SHAMOKIN DAM, PA 17876
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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