Individual
SHELLY CAROL HURTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3411 DIVISION DR, WEST PLAINS, MO 65775-5789
(417) 257-9152
Mailing address
3411 DIVISION DR, WEST PLAINS, MO 65775-5789
(417) 257-9152
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/12/2007
Last updated
07/13/2007
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