Individual
DEBRA MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3050 S NATIONAL AVE STE 104, SPRINGFIELD, MO 65804-4242
(417) 597-4572
(417) 882-1507
Mailing address
PO BOX 1042, BRANSON WEST, MO 65737-1042
(417) 597-4572
(417) 882-1507
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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