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Organization
DISABLED CITIZENS ALLIANCE FOR INDEPENDENCE
Active
Organization
DISABLED CITIZENS ALLIANCE FOR INDEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE L BARRETT (PAYROLL COORDINATOR)
(573) 244-5705
Entity
Organization
Contact information
Practice address
8 MISSOURI AVE, VIBURNUM, MO 65566-8633
(573) 244-5705
(573) 244-5880
Mailing address
8 MISSOURI AVE, PO BOX 675, VIBURNUM, MO 65566-8633
(573) 244-5705
(573) 244-5880
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286247705
—
MO
Enumeration date
01/24/2008
Last updated
05/13/2008
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