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Individual

AMY LOU CARLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NCC, LPC, CSATP

Contact information

Practice address
10031 NW 71ST TER, PARKVILLE, MO 64152-2460
(816) 606-6819
Mailing address
10031 NW 71ST TER, PARKVILLE, MO 64152-2460
(816) 606-6819

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2015040235
MO

Other

Enumeration date
01/02/2020
Last updated
01/02/2020
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