Gracie Mae Muckelrath

NPI #1972388353 in Camden, Arkansas

Provider Information

NPI Number: 1972388353
Entity Type: Individual
Name: Gracie Mae Muckelrath
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 25, 2023
Last Updated: Aug 25, 2023

Practice Location

Address: 1919 OUACHITA 67
City: Camden
State: Arkansas
ZIP Code: 71701-8812
Phone: (870) 833-6166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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