Angela Jefferson, LPN

NPI #1659771640 in Clinton, Missouri

Provider Information

NPI Number: 1659771640
Entity Type: Individual
Name: Angela Jefferson, LPN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: LPN
Enumeration Date: Aug 27, 2014
Last Updated: Aug 27, 2014

Practice Location

Address: 505 S 11TH STREET TER
City: Clinton
State: Missouri
ZIP Code: 64735-2319
Phone: (660) 924-6189

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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