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Organization
TRIDENT COUNSELING CONSULTING & WELLNESS LLC
Active
Organization
TRIDENT COUNSELING CONSULTING & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA DAVIS LCSW (OWNER/PROVIDER)
(417) 631-3246
Entity
Organization
Contact information
Practice address
112 W BROADWAY ST ST A, BOLIVAR, MO 61653
(417) 631-3246
Mailing address
112 W BROADWAY ST ST A, BOLIVAR, MO 61653
(417) 631-3246
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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