Individual
AMANDA DAL SOGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 S 1ST AVE, CHILOQUIN, OR 97624-9738
(541) 591-5669
Mailing address
7690 NE 33RD ST, REDMOND, OR 97756-8766
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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