Individual
ALLIE LIEN MCCARTY-MONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3494 LIBERTY RD S, SALEM, OR 97302-4607
(503) 560-4022
Mailing address
5024 BRIARWOOD CIR N, KEIZER, OR 97303-7532
(503) 560-4022
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/15/2020
Last updated
03/15/2020
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