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Individual

LAQUESHA FARLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5354 ELMORE AVE, DAVENPORT, IA 52807-3859
(574) 387-4313
Mailing address
1827 E IRELAND RD, SOUTH BEND, IN 46614-2845

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-390967
IA

Other

Enumeration date
12/18/2025
Last updated
12/18/2025
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