Organization
KYBAMA, INC
Active
Other names
The Legacy Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
LENNIE MICHAEL FINCHER (PRESIDENT)
(573) 631-2897
Entity
Organization
Contact information
Practice address
12729 STONEY POINT RD, BONNE TERRE, MO 63628-5500
(573) 631-2897
(573) 358-8727
Mailing address
PO BOX 71, POTOSI, MO 63664-0071
(573) 358-8703
(573) 358-8727
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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