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Individual

DEANNA RAIN GARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10 PARSONAGE RD STE 318, EDISON, NJ 08837-2429
(732) 204-1635
(732) 204-1636
Mailing address
12838 CORLEY DR, LA MIRADA, CA 90638-1927
(562) 631-2687

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/19/2022
Last updated
08/19/2022
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