Individual
EMMA JEAN MUSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 100 YEARPARTY CT STE 200, LONGMONT, CO 80504-8591
(720) 713-7849
Mailing address
720 100 YEARPARTY CT STE 200, LONGMONT, CO 80504-8591
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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