Individual
ANTHONI ANTWANAE MORIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13816 MARK CHRISTOPHER WAY, MANOR, TX 78653-2042
(512) 905-0591
Mailing address
13816 MARK CHRISTOPHER WAY, MANOR, TX 78653-2042
(512) 905-0591
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TX
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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