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Individual

ASHLEY L LARUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
116 LARCH ST, SCRANTON, PA 18509-2802
(570) 489-5561
Mailing address
302 VINE ST, OLD FORGE, PA 18518-1771
(570) 983-5284

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/09/2025
Last updated
05/09/2025
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