Individual
AUTUMN MENTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6504 MOUNTAINDALE RD, THURMONT, MD 21788-2719
(301) 524-8203
Mailing address
6504 MOUNTAINDALE RD, THURMONT, MD 21788-2719
(301) 524-8203
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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