Alpha Omega Delta Llc | |
2200 E Sunshine St Springfield MO 65804-1924 | |
(417) 881-2444 | |
Not Available |
Full Name | Alpha Omega Delta Llc |
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Speciality | Counselor - Professional |
Location | 2200 E Sunshine St, Springfield, Missouri |
Authorized Official Name and Position | Emily D Wright (COUNSELOR) |
Authorized Official Contact | 4178489860 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alpha Omega Delta Llc 2200 E Sunshine St Springfield MO 65804-1924 Ph: (417) 881-2444 | Alpha Omega Delta Llc 2200 E Sunshine St Springfield MO 65804-1924 Ph: (417) 881-2444 |
NPI Number | 1457774804 |
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Provider Enumeration Date | 01/21/2014 |
Last Update Date | 01/21/2014 |
Identifier | Type | State | Issuer |
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1457774804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 2011033850 (Missouri) | Primary |
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