Individual
REAGAN MARY WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1575 JEFFERSON RDG APT 7, MANHATTAN, KS 66502-0420
(816) 469-5162
Mailing address
1575 JEFFERSON RDG APT 7, MANHATTAN, KS 66502-0420
(985) 867-0205
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/20/2022
Last updated
03/20/2022
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