LICATA JEANE WILSON

WEST PLAINS, MO
NPI1093054249
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MO  2008023618)
Enumeration Date2013-02-07
Last Update Date2013-02-07
Business Address
-- LICATA JEANE WILSON
210 DAVIS DR
WEST PLAINS, MO 65775-2241
Phone number: 417-256-2152
Mailing Address
-- LICATA JEANE WILSON
210 DAVIS DR
WEST PLAINS, MO 65775-2241
Phone number:
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