Individual
MRS. WINTER JOY MARSHALL-ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT-19-92324
Contact information
Practice address
338800 COMMUNITY COLLEGE DRIVE, SUITE 1, SOLDOTNA, AK 33669
(907) 262-0893
Mailing address
3773 FOREST GLEN DR, HOMER, AK 99603-7467
(918) 869-9892
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-92324
AK
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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