Individual
JOSIE ANN MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 WARRIOR LANE, POPLAR BLUFF, MO 63901
(573) 686-1200
Mailing address
3001 WARRIOR LANE, POPLAR BLUFF, MO 63901
(573) 686-1200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
Primary
—
MO
Other
Enumeration date
10/25/2024
Last updated
04/28/2025
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