Individual
ADDYSON WESTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 LAUBACH DR., PARAGOULD, AR 72450
(807) 568-5195
Mailing address
PO BOX 813, PARAGOULD, AR 72451-0813
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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