Individual
RONNIKA JACLYN HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9344 NELAN DR, SAINT LOUIS, MO 63137-2728
(618) 954-1359
Mailing address
9344 NELAN DR, SAINT LOUIS, MO 63137-2728
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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