Individual
A'KAYSION SOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 E BROADWAY STE 304, COLUMBIA, MO 65201-4469
(573) 825-0672
Mailing address
601 E BROADWAY STE 304, COLUMBIA, MO 65201-4469
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
Y048131002
MO
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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