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1992278139
FANCILLA ADAMS
KENNETT, MO
NPI
1992278139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-01-10
Last Update Date
2019-01-10
Business Address
FANCILLA ADAMS
925 STATE HIGHWAY V V
KENNETT, MO 63857
Phone number: 573-888-5925
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Mailing Address
FANCILLA ADAMS
20 S SPRIGG ST
CAPE GIRARDEAU, MO 63703-6212
Phone number: 636-485-1635
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