Individual
ANNA MISENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2200 3RD AVE, ROCK ISLAND, IL 61201-8840
(815) 584-6554
Mailing address
2200 3RD AVE, ROCK ISLAND, IL 61201-8840
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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