Individual
JASMINE SLOCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
122 E LIEBER ST, MARYVILLE, MO 64468-2617
(660) 582-7113
(660) 582-3493
Mailing address
122 E LIEBER ST, MARYVILLE, MO 64468-2617
(660) 582-7113
(660) 582-3493
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2024044438
MO
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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