Individual
CAROL LOUISE DIPPOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LPC
Contact information
Practice address
1021 KINGSWAY DR STE 3, CAPE GIRARDEAU, MO 63701-3600
(573) 335-7929
(573) 335-6445
Mailing address
1021 KINGSWAY DR STE 3, CAPE GIRARDEAU, MO 63701-3600
(573) 335-7929
(573) 335-6445
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
000855
MO
1041C0700X
Clinical Social Worker
Primary
002562
MO
Other
Enumeration date
02/04/2019
Last updated
11/27/2023
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