Individual
JOAN M MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9430 GILLETTE ST, LENEXA, KS 66215-3770
(816) 873-5327
Mailing address
9430 GILLETTE ST, LENEXA, KS 66215-3770
(816) 873-5327
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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