Jackson Delaney Smothers

NPI #1003585332 in Poplar Bluff, Missouri

Provider Information

NPI Number
1003585332
Entity Type
Individual
Name
Jackson Delaney Smothers
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Sep 9, 2021
Last Updated
Sep 9, 2021

Practice Location

Address
2995 WARRIOR LN
ZIP Code
63901-8600
Phone
(573) 712-2902

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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