Individual
MARISSA NICOAL CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3002 YOUNGER DR, HARRISONVILLE, MO 64701-3909
(417) 448-9766
Mailing address
1229 SE STATE RTE N, BUTLER, MO 64730-8692
(816) 738-0389
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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