Individual
MIRANDA L SICKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 S DONAGHEY AVE, CONWAY, AR 72034-6880
(501) 441-2096
Mailing address
815 S DONAGHEY AVE, CONWAY, AR 72034-6880
(501) 441-2096
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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