Individual
KELLY HAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 ALLISON LN, WINFIELD, MO 63389-2968
(636) 485-1864
Mailing address
205 ALLISON LN, WINFIELD, MO 63389-2968
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2014043418
MO
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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