Individual
ELIZABETH DEKOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2541 PASS RD STE A, BILOXI, MS 39531-2112
(850) 860-4227
Mailing address
2541 PASS RD STE A, BILOXI, MS 39531-2112
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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