Individual
MRS. DEANNA MICHELLE PARISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
272 N BROADWAY ST, TOOELE, UT 84074-2244
(435) 268-9897
Mailing address
PO BOX 198, STOCKTON, UT 84071-0198
(435) 268-9897
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-64031
UT
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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