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324 William 1f Cape Girandeau MO 63701 | |
(573) 339-1450 | |
(573) 334-4904 |
Full Name | |
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Speciality | Counselor - Professional |
Location | 324 William, Cape Girandeau, Missouri |
Authorized Official Name and Position | Betty Jean Prigge (EXECUTIVE DIRECTOR COUNSELOR) |
Authorized Official Contact | 5733391450 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3060 Kage Rd Cape Girandeau MO 63701 Ph: (573) 339-1450 | 324 William 1f Cape Girandeau MO 63701 Ph: (573) 339-1450 |
NPI Number | 1548337868 |
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Provider Enumeration Date | 11/30/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1548337868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 000366 (Missouri) | Primary |