Individual
ASHLEY SORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3220 STATE HIGHWAY 265 APT 5, HOLLISTER, MO 65672-5569
(417) 306-5834
Mailing address
3220 STATE HIGHWAY 265 APT 5, HOLLISTER, MO 65672-5569
(417) 306-5834
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
10/08/2024
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