Individual
MICHAELA CHEYENNE TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 MAGNOLIA ST, CAMPBELL, MO 63933-1501
(573) 276-7133
Mailing address
117 MAGNOLIA ST, CAMPBELL, MO 63933-1501
(573) 276-7133
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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