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Individual

NOAH CHRISTIAN WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
116 LARCH ST, SCRANTON, PA 18509-2802
(570) 489-5561
Mailing address
538 VENARD RD, SOUTH ABINGTON TOWNSHIP, PA 18411-1250

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/30/2023
Last updated
03/30/2023
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