Individual
HALLE ANN TWIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1417 N MOUNT AUBURN RD STE C, CAPE GIRARDEAU, MO 63701-2171
(573) 271-5240
Mailing address
1020 HUNTERS TRL, MASCOUTAH, IL 62258-2929
(618) 491-3503
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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