Individual
WILLIAM JEROME MASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4024 W 74TH ST, PRAIRIE VILLAGE, KS 66208-2943
(620) 388-3225
Mailing address
3943 N ESTANCIA CT, WICHITA, KS 67205-8728
(620) 388-3225
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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