Sally Rose Lodwig

NPI #1942845482 in Burbank, California

Provider Information

NPI Number: 1942845482
Entity Type: Individual
Name: Sally Rose Lodwig
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 7, 2019
Last Updated: Nov 7, 2019

Practice Location

Address: 124 E OLIVE AVE
City: Burbank
State: California
ZIP Code: 91502-1819
Phone: (855) 223-7123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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