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1356577183
MICHAEL A. NINNESS
WASHINGTON, MO
NPI
1356577183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MO 3788)
Enumeration Date
2009-06-08
Last Update Date
2009-06-08
Business Address
Mr. MICHAEL A. NINNESS
854 LOST CREEK LN
WASHINGTON, MO 63090-5492
Phone number: 636-390-3261
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Mailing Address
Mr. MICHAEL A. NINNESS
854 LOST CREEK LN
WASHINGTON, MO 63090-5492
Phone number: 636-390-3261
Copy
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