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Organization
TAILORED COUNSELING
Active
Organization
TAILORED COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE D MOSER PLPC (THERAPIST)
(816) 617-6259
Entity
Organization
Contact information
Practice address
2915 JENNIFER LN, COUNTRY CLUB, MO 64506-1016
(816) 617-6259
Mailing address
2915 JENNIFER LN, COUNTRY CLUB, MO 64506-1016
(816) 617-6259
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2010041726
MO
101YP2500X
Professional Counselor
Primary
2013030909
MO
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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