Individual
MIRANDA KERRY RICHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 FERREL STREET, PLATTE CITY, MO 64079
(816) 469-5162
Mailing address
404 CLINTON DR, GOWER, MO 64454-9130
(913) 547-6439
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/06/2022
Last updated
02/06/2022
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