Individual
HALEIGH THRASHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 METRO PL S, SUITE 100, DUBLIN, OH 43017-5316
(303) 989-8169
Mailing address
545 METRO PL S, SUITE 100, DUBLIN, OH 43017-5316
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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