Individual
MEAGAN HOUSEHOLTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
423 N JACKSON ST, PRATT, KS 67124-1647
(620) 388-1235
Mailing address
423 N JACKSON ST, PRATT, KS 67124-1647
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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