Individual
MRS. CAROLYN LOUISE PRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 1 BOX 76, BARING, MO 63531-9724
(660) 892-4516
Mailing address
RR 1 BOX 76, BARING, MO 63531-9724
(660) 892-4516
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2001014080
MO
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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