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NPI Code Detail

MEDICARE: STELLA M NAEGER

MEDICARE:   STELLA M NAEGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor001128MO

General Provider Information

NPI Number : 1124044961
Entity Type Code : Individual
Provider Name (Legal Business Name) : STELLA M NAEGER
Provider Business Mailing Address
First Line : 16253 STATE ROUTE B
Second Line :
City : SAINTE GENEVIEVE
State : MO
Zip : 63670-9143
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 N WASHINGTON ST
Second Line :
City : FARMINGTON
State : MO
Zip : 63640-1751
Country : US
Telephone Number : 573-756-6101
Fax Number : 573-756-6420
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 07/08/2007

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Directions to “ STELLA M NAEGER ” Practice Location

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