Individual
MRS. MELINDA ANN HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 PORTLAND ST, COLUMBIA, MO 65201-6521
(573) 884-4660
(573) 884-1151
Mailing address
205 PORTLAND ST, COLUMBIA, MO 65211
(573) 884-4660
(573) 884-1151
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2011001057
MO
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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