Individual
JESSICA LEANNE MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
463 SPRING AVE, LIBERTY, MO 64068-4309
(816) 469-5162
Mailing address
463 SPRING AVE, LIBERTY, MO 64068-4309
(816) 806-5810
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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