Individual
KATERA MOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLP
Contact information
Practice address
1216 DEADRA DR, LEBANON, MO 65536-4669
(417) 532-7102
Mailing address
1216 DEADRA DR, LEBANON, MO 65536-4669
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
2014030995
MO
Other
Enumeration date
09/15/2014
Last updated
12/11/2015
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