Individual
MRS. LAURA MICHELLE RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2278 HIGHWAY 65 N, MARSHALL, AR 72650-7660
(870) 448-3894
(479) 967-2876
Mailing address
PO DRAWER 2109, RUSSELLVILLE, AR 72811
(479) 967-2322
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252229795
—
AR
Enumeration date
10/07/2020
Last updated
01/10/2023
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