Individual
RAEGAN LEA HUFFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
809 GRAHAM ST, MOUNTAINBURG, AR 72946-4107
(479) 806-3187
Mailing address
809 GRAHAM ST, MOUNTAINBURG, AR 72946-4107
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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