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Individual

MRS. ALISA K DODDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
5 WESTOWNE ST, STE 501, LIBERTY, MO 64068-3512
(816) 781-2110
(816) 781-2312
Mailing address
5 WESTOWNE ST., STE 501, LIBERTY, MO 64068-3512
(816) 781-2110
(816) 781-2312

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2001022069
MO
101YM0800X
Mental Health Counselor
2001022069
MO
101YP2500X
Professional Counselor
2001022069
MO

Other

Enumeration date
01/04/2007
Last updated
01/06/2012
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