Individual
TALESHA BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 MO-84, CARUTHERSVILLE, MO 63830
(573) 333-5875
Mailing address
915 MO-84, CARUTHERSVILLE, MO 63830
(573) 333-5875
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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