Individual
MRS. RACHELLE L COLEGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2131 S EASTGATE AVE, SPRINGFIELD, MO 65809-2146
(417) 763-3309
Mailing address
2131 S EASTGATE AVE, SPRINGFIELD, MO 65809-2146
(417) 763-3309
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012037399
MO
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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