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Organization
TRINITY LIFE COUNSELING
Active
Organization
TRINITY LIFE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA LUNGSTRUM LCSW (PRESIDENT)
(417) 388-9872
Entity
Organization
Contact information
Practice address
16262 VIXEN RD, STARK CITY, MO 64866-7945
(417) 388-9872
(888) 310-7328
Mailing address
16262 VIXEN RD, STARK CITY, MO 64866-7945
(417) 388-9872
(888) 310-7328
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003018404
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497388108
—
MO
Enumeration date
05/11/2010
Last updated
06/18/2018
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