Individual
ALASHIA JADE WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3420 HARRY S TRUMAN BLVD, SAINT CHARLES, MO 63301-4046
(636) 926-2700
Mailing address
10613 SAINT MATTHEW LN, SAINT ANN, MO 63074-2614
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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