Individual
MR. TAYLOR JAMES LOETHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 HIGHWAY J, HAYTI, MO 63851-1200
(573) 359-2600
Mailing address
815 E REED ST, HAYTI, MO 63851-1240
(573) 359-7304
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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