Individual
PATRISH DOREEN BARRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 E 3RD S, SODA SPRINGS, ID 83276-1636
(253) 255-4061
Mailing address
240 E 3RD S, SODA SPRINGS, ID 83276-1636
(253) 255-4061
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
05/13/2021
Last updated
05/31/2023
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