Individual
TAMMY MICHELLE STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
431 NE COUNTY ROAD 10564, ADRIAN, MO 64720-5111
(660) 424-4080
Mailing address
466 NE COUNTY ROAD 10564, ADRIAN, MO 64720-5111
(660) 424-4080
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
06/16/2018
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