Individual
THERESA SMALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 S SPRIGG ST, CAPE GIRARDEAU, MO 63703-6212
(417) 256-2570
Mailing address
20 S SPRIGG ST, CAPE GIRARDEAU, MO 63703-6212
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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