Individual
SAVANNAH LAINE MENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 S. SPRIGG ST, CAPE GIRARDEAU, MO 63701
Mailing address
925 HWY VV, KENETT, MO 63857
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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