Individual
JACKSON DANIEL SELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 NE ROANOKE DR, BLUE SPRINGS, MO 64014-1305
(816) 874-3690
Mailing address
660 E 63RD ST, KANSAS CITY, MO 64110-3332
(816) 812-3879
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2024034297
MO
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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