LISA D STACKS

KENNETT, MO
NPI1801122833
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2009-10-27
Last Update Date2009-10-27
Business Address
-- LISA D STACKS PSR tech
925 STATE HWY VV
KENNETT, MO 63857
Phone number: 573-888-5925
Mailing Address
-- LISA D STACKS PSR tech
925 STATE HWY VV PO BOX 71
KENNETT, MO 63857
Phone number: 573-888-5925
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