Individual
KIRSTEN GARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HATTON AVE APT 102, EUGENE, OR 97404-6810
(717) 586-4243
Mailing address
1056 GREEN ACRES RD # 102-360, EUGENE, OR 97408-1505
(541) 224-6987
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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