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Organization

LORI SEULEAN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORI SEULEAN LPC (LICENSED PROFESSIONAL COUNSELOR)
(636) 290-5147
Entity
Organization

Contact information

Practice address
410 SYDNA CT, TROY, MO 63379
(636) 290-5147
Mailing address
410 SYDNA CT, TROY, MO 63379
(636) 290-5147

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2014030564
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104360239
MO
Enumeration date
12/08/2016
Last updated
03/27/2017
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