Organization
STODDARD COUNTY TARGETED CASE MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA LYNN MCCLURE (ADMINISTRATOR)
(573) 614-5095
Entity
Organization
Contact information
Practice address
1203 COUNTY ROAD 431, DEXTER, MO 63841-2400
(573) 614-5095
(573) 614-5114
Mailing address
PO BOX 733, DEXTER, MO 63841-0733
(573) 614-5095
(573) 614-5114
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/11/2013
Last updated
07/22/2019
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