Individual
MRS. ALISSA KAE MARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
918 BERNADETTE DR, COLUMBIA, MO 65203-5007
(573) 874-3777
Mailing address
10176 CORPORATE SQUARE DR, SUITE 150, SAINT LOUIS, MO 63132-2924
(314) 432-6200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2013034275
MO
Other
Enumeration date
09/23/2013
Last updated
12/19/2016
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