MELISSA WEATHERWAX

KENNETT, MO
NPI1366621740
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-11-01
Last Update Date2007-11-01
Business Address
-- MELISSA WEATHERWAX
1109 JONES ST
KENNETT, MO 63857-3824
Phone number: 573-888-6545
Mailing Address
-- MELISSA WEATHERWAX
1109 JONES ST
KENNETT, MO 63857-3824
Phone number:
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