Individual
DEBORAH ANN SHOCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
600 N MAIN ST, MOUNTAIN GROVE, MO 65711-1309
(417) 926-7623
(417) 926-7650
Mailing address
600 N MAIN ST, MOUNTAIN GROVE, MO 65711-1309
(417) 926-7623
(417) 926-7650
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2003032189
MO
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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