MRS. Bonnie Sue Faughn
NPI #1407994601 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1407994601
- Entity Type
- Individual
- Name
- MRS. Bonnie Sue Faughn
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Feb 1, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 2342 COUNTY ROAD 523
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-8017
- Phone
- (573) 686-6142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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