Individual
MADISON HALE IMLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N KEENE ST BLDG 2, COLUMBIA, MO 65201-8143
(573) 884-6052
(573) 884-3195
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2024031122
MO
Other
Enumeration date
09/17/2020
Last updated
08/29/2024
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