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Individual

GLENNA DEE STILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, PSY.D.

Contact information

Practice address
2117 S STEWART AVE, SPRINGFIELD, MO 65804-2548
(417) 838-0024
Mailing address
2170 E BARCELONA PL, SPRINGFIELD, MO 65804-7505

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/26/2007
Last updated
07/08/2007
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