Individual
JORDAN LYNN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
804 SOUTH JEFFERSON STREET, AVA, MO 65608
(417) 256-2570
Mailing address
804 SOUTH JEFFERSON STREET, AVA, MO 65608
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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