Provider Information for 1225015449
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TREVA M. SATTERFIELD LPC
Sex: Female
NPI: 1225015449
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1225015449 | ||||||||
| Enumeration Date | 2005-12-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | RR 5 BOX 355 SALEM, MO 65560-9032 United States Phone: 573-548-2243 | Fax:573-674-4483 | ||||||||
| Primary Practice Address | RR 5 BOX 355 SALEM, MO 65560-9032 United States Phone: 573-548-2243 | Fax:573-674-4483 | ||||||||
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