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Individual

NICOLE DAUTRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1011 REED AVE, WYOMISSING, PA 19610-2002
(610) 939-9999
Mailing address
101 W 33RD ST, READING, PA 19606-2905
(484) 332-3517

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
PA

Other

Enumeration date
10/28/2020
Last updated
10/28/2020
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