Individual
AKUA SOUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5706 ROWLETT RD STE 500, ROWLETT, TX 75089-3463
(855) 782-7822
Mailing address
10911 WOODMEADOW PKWY APT 913, DALLAS, TX 75228-7359
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TX
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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