Individual
MRS. ARLENE CAPISTRANO GERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ISL OWNER DIRECTOR
Contact information
Practice address
1102 LAKEVIEW CT, CARROLLTON, MO 64633
(660) 542-8707
(660) 542-8707
Mailing address
1102 LAKEVIEW CT, CARROLLTON, MO 64633
(660) 542-8707
(660) 542-8707
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
0298001812
MO
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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