Individual
LONELL SERVOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 N 8TH ST, KANSAS CITY, KS 66101-2706
(816) 298-5371
Mailing address
18600 E 37TH TER S, INDEPENDENCE, MO 64057-1707
(816) 298-5371
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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