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Individual

MRS. PAMELAKAY LIGHTLE

Active
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Individual

MRS. PAMELAKAY LIGHTLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSE, PLPC

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2006025673
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
496264706
MO
Enumeration date
10/16/2007
Last updated
06/07/2024
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