Individual
JESSICA NICOLE THORNSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3411 DIVISION DR, WEST PLAINS, MO 65775-5789
(417) 257-9152
Mailing address
3411 DIVISION DR, WEST PLAINS, MO 65775-5789
(417) 257-9152
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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