Individual
JORDEN MASHELLE MUNSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 STATE ST STE G750, SALEM, OR 97301-7012
(971) 273-7502
Mailing address
2577 LEE ST SE, SALEM, OR 97301-5059
(405) 679-5069
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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