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Individual

CLARA TIEDEMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
1010 MATTLIND WAY, MILFORD, DE 19963-5300
(302) 503-3120
Mailing address
7 PAUL REVERE CT, DOVER, DE 19904-7613
(864) 314-9156

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36282
DE

Other

Enumeration date
06/21/2019
Last updated
06/21/2019
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