Individual
CHEREE L CORDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1606 S 38TH ST, SAINT JOSEPH, MO 64507-2216
(816) 390-8941
(816) 279-7728
Mailing address
PO BOX 8162, SAINT JOSEPH, MO 64508-8162
(816) 390-8941
(816) 617-1874
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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