Individual
MS. MARY JEANETTE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6111 E CLAYSVILLE RD, HARTSBURG, MO 65039-9625
(573) 761-0696
Mailing address
2100 E BROADWAY, SUITE 315, COLUMBIA, MO 65201-6082
(573) 442-8550
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2006025700
MO
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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