Individual
JENNY HARTGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12400 OLIVE BLVD, SUITE 340, ST. LOUIS, MO 63141
(314) 303-0849
(618) 218-9219
Mailing address
P.O. BOX 1092, COLUMBIA, IL 62236
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
2017003939
MO
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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