Individual
MAKENZIE JO GUDMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 BUDDY HOLLY PL, CLEAR LAKE, IA 50428-3735
(641) 352-7671
Mailing address
38671 150TH AVE, LELAND, IA 50453-7501
(641) 251-1308
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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