Individual
MRS. MELANIE DAWN MILLER MORGRET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
201 W SWITZLER ST, CENTRALIA, MO 65240-1035
(573) 682-5864
(573) 682-1544
Mailing address
2651 W ROUTE F, CLARK, MO 65243-9515
(573) 687-3956
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2008033474
MO
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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