Individual
JORDAN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 GRAND AVE, JOPLIN, MO 64801-2027
(417) 680-0777
Mailing address
PO BOX 426, JOPLIN, MO 64802-0426
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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