Individual
KIARA PAIGE BOUTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5225 HEFFRON CT, STEVENS POINT, WI 54481-5086
(715) 544-6847
Mailing address
8072 COUNTY RD N, ALMOND, WI 54909-9741
(715) 412-1100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
353140
WI
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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