Individual
CIENNA RUTH WATHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12528 ASH ST, THORNTON, CO 80241-2905
(847) 306-9843
Mailing address
12528 ASH ST, THORNTON, CO 80241-2905
(847) 306-9843
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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