Kayleb Micheal Adams-Derousse
NPI #1225685571 in Farmington, Missouri
Provider Information
- NPI Number
- 1225685571
- Entity Type
- Individual
- Name
- Kayleb Micheal Adams-Derousse
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Aug 21, 2019
- Last Updated
- Aug 21, 2019
Practice Location
- Address
- 1085 MAPLE ST
- City
- Farmington
- State
- Missouri
- ZIP Code
- 63640-1955
- Phone
- (573) 756-5353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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