Individual
GRACE ANNE KRISTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 FERREL ST, PLATTE CITY, MO 64079-9511
(816) 469-5162
Mailing address
500 HIGHWAY T, WAYNESVILLE, MO 65583-2484
(573) 842-8906
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
02/28/2024
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