Individual
EMMA JEAN IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 N 9TH ST, FORT DODGE, IA 50501-3911
(515) 293-5620
Mailing address
109 E CENTER AVE, BADGER, IA 50516-7520
(515) 574-9344
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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