Individual
MRS. BRIDGET HEATON GARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33636 COUNTRY CLUB RD, SLATER, MO 65349-2238
(660) 619-8135
Mailing address
33636 COUNTRY CLUB RD, SLATER, MO 65349-2238
(660) 619-8135
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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