NICHOLAS SMALL

KENNETT, MO
NPI1437565702
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
-- NICHOLAS SMALL
1109 JONES ST
KENNETT, MO 63857-3824
Phone number: 573-888-6545
Mailing Address
-- NICHOLAS SMALL
1109 JONES ST
KENNETT, MO 63857-3824
Phone number: 573-888-6545
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