Individual
JULIE ANN NOVAK-EVERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
266 LANDERA LANE, WASHINGTON, MO 63090
(573) 480-0440
Mailing address
266 LANDERA LANE, WASHINGTON, MO 63090
(573) 480-0440
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-122274
MO
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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