Individual
KIMBERLY LEE STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
103 LINCOLN ST, O FALLON, MO 63366-1603
(636) 978-6901
Mailing address
103 LINCOLN ST, O FALLON, MO 63366-1603
(636) 978-6901
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2000146835
MO
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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