Individual
TERRI JO PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
935 STATE ROUTE VV, KENNETT, MO 63857-3822
(573) 888-5925
Mailing address
935 STATE ROUTE VV, KENNETT, MO 63857-3822
(573) 888-5925
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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