Grace Island Cook

NPI #1508532029 in Waynesville, Missouri

Provider Information

NPI Number: 1508532029
Entity Type: Individual
Name: Grace Island Cook
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 17, 2021
Last Updated: Aug 17, 2021

Practice Location

Address: 21485 RISKY RD APT 1
City: Waynesville
State: Missouri
ZIP Code: 65583-2529
Phone: (918) 907-4510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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