Individual
MARTHA RISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4075 PARK AVE, MEMPHIS, TN 38111-7400
(901) 584-8281
(901) 584-6340
Mailing address
2756 STAGE PARK DR, MEMPHIS, TN 38134-4443
(901) 523-3632
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22246319
TN
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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