Individual
SHELBY JEAN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 FERREL ST, PLATTE CITY, MO 64079-9511
(816) 469-5162
Mailing address
2512 SAINT JOSEPH AVE, SAINT JOSEPH, MO 64505-2159
(816) 596-7395
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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