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Individual

TAMMY R. NORTHING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1211 ILLINOIS AVE, JOPLIN, MO 64801-5026
(417) 781-3616
(417) 781-4190
Mailing address
1211 ILLINOIS AVE, JOPLIN, MO 64801-5026
(417) 781-3616
(417) 781-4190

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2011022415
MO

Other

Enumeration date
09/07/2011
Last updated
04/29/2013
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