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Individual

ASHLEY M DEFELICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3135 JOHNSON MILL RD, LEWISBURG, PA 17837-7721
(570) 460-3038
Mailing address
3135 JOHNSON MILL RD, LEWISBURG, PA 17837-7721
(570) 460-3038

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
PA

Other

Enumeration date
07/23/2021
Last updated
07/23/2021
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