KELSAE WYRICK

KENNETT, MO
NPI1326454695
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children
Enumeration Date2014-07-08
Last Update Date2014-07-08
Business Address
KELSAE WYRICK
1109 JONES ST
KENNETT, MO 63857-3824
Phone number: 573-559-4328
Mailing Address
KELSAE WYRICK
1109 JONES ST
KENNETT, MO 63857-3824
Phone number: 573-559-4328
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