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Organization

MONITEAU COUNTY SB 40 BOARD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STACI AARON HARRISON (EXECUTIVE DIRECTOR)
(573) 796-6131
Entity
Organization

Contact information

Practice address
1509 INDUSTRIAL PARK DR, CALIFORNIA, MO 65018-1883
(573) 796-6131
(573) 796-2609
Mailing address
1509 INDUSTRIAL PARK DR, CALIFORNIA, MO 65018-1883
(573) 796-6131
(573) 796-2609

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
STACI HARRISON
MO

Other

Enumeration date
11/16/2010
Last updated
11/19/2010
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