Individual
MRS. SHOBI JEANNE GROTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3048 S CLIFTON AVE STE 112, SPRINGFIELD, MO 65807-6045
(417) 818-5784
Mailing address
3048 S CLIFTON AVE STE 112, SPRINGFIELD, MO 65807-6045
(417) 818-5784
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2024000987
MO
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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