Individual
BOUDICA DAWN MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4927 LAKE RIDGE PKWY STE 120, GRAND PRAIRIE, TX 75052-3066
(855) 782-7822
Mailing address
4927 LAKE RIDGE PKWY STE 120, GRAND PRAIRIE, TX 75052-3066
(855) 782-7822
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
06/08/2023
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