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Individual

AL SICURO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
95 3RD ST FL 2, SAN FRANCISCO, CA 94103-3103
(831) 583-7612
Mailing address
1420 PLAZA DR, WINSTON SALEM, NC 27103-1470
(831) 583-7612

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/14/2023
Last updated
07/09/2024
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