Individual
JILL WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10330 HICKMAN MILLS DR, KANSAS CITY, MO 64137-1618
(816) 501-5438
Mailing address
10330 HICKMAN MILLS DR, KANSAS CITY, MO 64137-1618
(660) 624-3866
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2019026938
MO
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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