Individual
MRS. KAY ANN CIACCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1550 E BATTLEFIELD ST STE A, SPRINGFIELD, MO 65804-3700
(417) 869-9011
Mailing address
1025 W SYCAMORE ST, SPRINGFIELD, MO 65810-2548
(417) 888-8482
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2008028069
MO
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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