Individual
SOPHIE GRACE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3996 CR 4055, INDEPENDENCE, KS 67301-7607
(620) 330-7678
Mailing address
3996 CR 4055, INDEPENDENCE, KS 67301-7607
(620) 330-7678
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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