Individual
JESSICA WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 10TH RD, LINN, KS 66953-9238
(785) 406-0835
Mailing address
1204 10TH RD, LINN, KS 66953-9238
(785) 406-0835
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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