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Individual

ALTEN RAYMOND TREECE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
306 N 2ND ST, PIEDMONT, MO 63957-1301
(573) 223-4169
Mailing address
306 N 2ND ST, PIEDMONT, MO 63957-1301
(573) 223-4169

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/28/2021
Last updated
04/28/2021
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