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Individual

MR. MARK ANTHONY HUNT SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS PSYCHOLOGY

Contact information

Practice address
3001 WARRIOR LN, POPLAR BLUFF, MO 63901-8685
(573) 686-1200
(573) 778-9492
Mailing address
3001 WARRIOR LN, POPLAR BLUFF, MO 63901-8685
(573) 686-1200
(573) 778-9492

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
MO

Other

Enumeration date
06/23/2016
Last updated
06/23/2016
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