Individual
KYLIE DAWN BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 GULF ST, LAMAR, MO 64759-1829
(417) 262-4466
Mailing address
1400 GULF ST, LAMAR, MO 64759-1829
(417) 262-4466
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
KS
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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