Individual
REGHAN MCKENZIE KOMPROOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 13TH AVE, NEW GLARUS, WI 53574-8919
(608) 527-4844
Mailing address
W4874 EDELWEISS RD, NEW GLARUS, WI 53574-9304
(608) 438-9360
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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