Individual
CANDACE MARIE JONAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11780 BORMAN DR, SAINT LOUIS, MO 63146-4135
(314) 275-0506
Mailing address
75 CALBREATH CT, FLORISSANT, MO 63031-8001
(636) 328-2386
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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