Most Relevant Information
Provider Data
| NPI Number: | 1003533035 |
| Provider Name: | SALLY ELIZABETH THURMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/20/2022 |
| Last Updated: | 10/20/2022 |
Provider Practice Location
3001 WARRIOR LN
POPLAR BLUFF
MO
639018685
Practice Location Phone/Fax
| Phone: | 5736861200 |
| Fax: |
Provider Mailing Location
3001 WARRIOR LN
POPLAR BLUFF
MO
639018685
Provider Mailing Phone/Fax
| Phone: | 5736861200 |
| Fax: |