Individual
SUSAN MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 HIGHWAY 84 W, CARUTHERSVILLE, MO 63830-8113
(573) 333-5875
Mailing address
915 HIGHWAY 84 W, CARUTHERSVILLE, MO 63830-8113
(573) 333-5875
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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