Individual
AMY STOCKTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 DEADRA DR, LEBANON, MO 65536-4669
(417) 532-7102
(417) 532-6606
Mailing address
1216 DEADRA DR, LEBANON, MO 65536-4669
(417) 532-7102
(417) 532-6606
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2015002497
MO
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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