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Individual

JESSICAROSE NNEKA OMOILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED, PLPC

Contact information

Practice address
3100 MAIN ST, SUITE 206, KANSAS CITY, MO 64111-1931
(214) 454-0403
Mailing address
1520 VENTNOR LN, RAYMORE, MO 64083-8385
(214) 454-0403

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2010042212
MO

Other

Enumeration date
01/13/2011
Last updated
01/13/2011
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