Organization
CLINTON COUNTY SENATE BILL 40 BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON NO MIDDLE NAME GRAYSON (BOARD PRESIDENT)
(816) 585-7411
Entity
Organization
Contact information
Practice address
410 PINE ST, LATHROP, MO 64465-9703
(816) 740-4344
Mailing address
410 PINE ST, P. O. BOX 397, LATHROP, MO 64465-9703
(816) 740-4344
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
MO
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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