Individual
MRS. SHAVONTRIA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 ROUTE 66 W STE 101, WAYNESVILLE, MO 65583-8322
(573) 433-4846
Mailing address
20253 LONDON LN, WAYNESVILLE, MO 65583-3223
(706) 580-4477
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2024048170
MO
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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