Full Name | |
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Speciality | Social Worker - Clinical |
Location | 83 South Hwy 49, Viburnum, Missouri |
Authorized Official Name and Position | Rhonda Payne (DIRECTOR) |
Authorized Official Contact | 5732445555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 706 Viburnum MO 65566-0706 Ph: (573) 244-5510 | 83 South Hwy 49 Viburnum MO 65566 Ph: (573) 244-5510 |
NPI Number | 1497181614 |
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Provider Enumeration Date | 09/19/2013 |
Last Update Date | 02/25/2020 |
Certification Date | 02/25/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497181614 | NPI | - | NPPES |