Individual
DOLLY EMILIA SHIREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 NW KELLY DR STE A, PARKVILLE, MO 64152-4027
(816) 469-5162
Mailing address
117 EPPS ST, FORT LEONARD WOOD, MO 65473-1532
(832) 278-8118
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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