Individual
RUTH VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 HIGHWAY VV, KENNETT, MO 63857
(573) 888-5925
Mailing address
925 HIGHWAY VV, KENNETT, MO 63857-0071
(573) 888-5925
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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