Individual
MR. GARY MARK DUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
115 E MAIN ST, GOODMAN, MO 64843-9784
(417) 592-9068
Mailing address
PO BOX 1016, NOEL, MO 64854-1016
(417) 592-9068
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2005028618
MO
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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