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1902987209
JACKIE SUE TRUETT
POPLAR BLUFF, MO
NPI
1902987209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Ms. JACKIE SUE TRUETT
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901-3318
Phone number: 573-778-4799
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Mailing Address
Ms. JACKIE SUE TRUETT
935 MONTCLAIR DR
POPLAR BLUFF, MO 63901-2136
Phone number: 573-778-4799
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