Individual
MS. KATHRYN MARY REVETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2604 RHONDA DR, WEST PLAINS, MO 65775-6544
(417) 256-0418
Mailing address
2604 RHONDA DR, WEST PLAINS, MO 65775-6544
(417) 256-0418
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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