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Individual

ADRIENNE JILL MELLROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
106 W US HIGHWAY 54, CAMDENTON, MO 65020-6945
(573) 317-9061
(573) 317-1970
Mailing address
106 W US HIGHWAY 54, PO BOX 986, CAMDENTON, MO 65020-6945
(573) 317-9061
(573) 317-1970

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/06/2016
Last updated
01/06/2016
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