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Individual

ELIZABETH ANNE ATKINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
413 E SPRING ST, BOONVILLE, MO 65233-1573
(660) 882-6400
Mailing address
18 RIVERSIDE DR, BOONVILLE, MO 65233-1344
(660) 853-1478

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
S157075004
MO
Enumeration date
03/11/2019
Last updated
04/12/2022
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