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Individual

AIMEE GOLDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EDS, LPC

Contact information

Practice address
705 ILLINOIS AVE, STE 22, JOPLIN, MO 64801-5067
(417) 627-9994
(417) 627-9995
Mailing address
705 ILLINOIS AVE, STE 22, JOPLIN, MO 64801-5067
(417) 627-9994
(417) 627-9995

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2004023379
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
499369106
MO
Enumeration date
11/04/2005
Last updated
07/18/2011
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