Individual
MARIE C ROMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 W 10TH ST, ROLLA, MO 65401-3247
(833) 338-4673
Mailing address
19781 SUGAR LN, WAYNESVILLE, MO 65583-3355
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2019000948
MO
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490078499
—
MO
Enumeration date
02/26/2019
Last updated
01/27/2020
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