Individual
MALAISIA RACHELLE DURRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 NE 68TH TERRACE, GLADSTONE, MO 64118
(816) 469-5162
Mailing address
1707 NE 68TH TER, GLADSTONE, MO 64118-2820
(816) 656-6936
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/31/2024
Last updated
08/31/2024
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