Jenna Grissom

NPI #1538808761 in O Fallon, Illinois

Provider Information

NPI Number
1538808761
Entity Type
Individual
Name
Jenna Grissom
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Jun 4, 2022
Last Updated
Jun 4, 2022

Practice Location

Address
634 N MAIN ST
ZIP Code
62269-3751
Phone
(618) 726-0701

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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