Individual
MR. TERRY VINCENT KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
2200 E SUNSHINE ST, SUITE 203, SPRINGFIELD, MO 65804-1924
(417) 881-2444
Mailing address
105 W BENNETT ST, NIXA, MO 65714-9279
(417) 838-7447
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2015039744
MO
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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