MALEA GRACE LACK

KENNETT, MO
NPI1144919283
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-05-04
Last Update Date2023-05-04
Business Address
MALEA GRACE LACK
1226 INDEPENDENCE AVE
KENNETT, MO 63857-1316
Phone number: 573-559-2380
Mailing Address
MALEA GRACE LACK
1226 INDEPENDENCE AVE
KENNETT, MO 63857-1316
Phone number: 573-559-2380