Individual
CARRI KRUENEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4003 16TH ST, CHESAPEAKE BEACH, MD 20732-9716
(208) 512-4118
Mailing address
4003 16TH ST, CHESAPEAKE BEACH, MD 20732-9716
(208) 512-4118
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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