Individual
MRS. VICKY LYNN MIESELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2808 S PICHER AVE, JOPLIN, MO 64804-1645
(417) 347-7700
(417) 347-7729
Mailing address
308 METALWOOD CIR, CARL JUNCTION, MO 64834-9601
(417) 649-6522
(413) 437-7729
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01596
MO
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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