Individual
NICKY MUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
935 HWY V V, KENNETT, MO 63857
(573) 888-5925
Mailing address
935 HWY V V, KENNETT, MO 63857
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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