Individual
ELISABETH KATE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 18TH AVE STE 2, GREELEY, CO 80631-5151
(970) 400-9821
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
316ZBG
CO
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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