CHASE LEWIS WILLETT

KENNETT, MO
NPI1699920322
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MO  4913)
Enumeration Date2008-11-21
Last Update Date2018-04-11
Business Address
CHASE LEWIS WILLETT CRADC, MARS
1109 JONES ST
KENNETT, MO 63857-3824
Phone number: 573-888-6545
Mailing Address
CHASE LEWIS WILLETT CRADC, MARS
PO BOX 470
KENNETT, MO 63857-0470
Phone number: 573-888-6545
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