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Individual

CHASSIDY FRANKLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
925 HIGHWAY VV, KENNETT, MO 63857
(573) 651-4177
Mailing address
20 S SPRIGG ST, CAPE GIRARDEAU, MO 63703-6212

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/08/2018
Last updated
03/08/2018
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