Individual
NICOLE SELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3037 LEXINGTON AVE, CAPE GIRARDEAU, MO 63701
(573) 708-7250
(800) 687-5070
Mailing address
2542 MASTERS DR, CAPE GIRARDEAU, MO 63701-2324
(573) 625-2284
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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