Individual
DANIEL NERY CARDOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1126 E HIGHWAY WW, MARSHALL, MO 65340-4641
(660) 886-2253
Mailing address
234 S CONWAY AVE, MARSHALL, MO 65340-2324
(660) 229-1531
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019043154
MO
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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