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Individual

ALEXANDRA LILLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, PLPC

Contact information

Practice address
1111 S GLENSTONE AVE STE 3-100, SPRINGFIELD, MO 65804-0397
(417) 869-8911
Mailing address
2310 E HARRISON ST, SPRINGFIELD, MO 65802-2869
(417) 689-5403

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2018041456
MO

Other

Enumeration date
12/06/2018
Last updated
05/01/2025
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