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Individual

MIA DYSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
412 1ST ST SE REAR BUILDING, WASHINGTON, DC 20003-1804
(301) 799-3304
(833) 803-2521
Mailing address
412 1ST ST SE REAR BUILDING, WASHINGTON, DC 20003-1804
(301) 799-3304
(833) 803-2521

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/25/2025
Last updated
04/25/2025
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