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Individual

MR. LEO WALTER ALLSTUN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC, CEAP, SAP

Contact information

Practice address
2907 INDEPENDENCE ST, SUITE G, CAPE GIRARDEAU, MO 63703-5044
(573) 334-7667
(573) 335-1338
Mailing address
2907 INDEPENDENCE ST, SUITE G, CAPE GIRARDEAU, MO 63703-5044
(573) 334-7667
(573) 335-1338

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001406
MO

Other

Enumeration date
09/21/2006
Last updated
07/08/2007
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