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Individual

MRS. REBECCA L ERVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
205 PARK CENTRAL E, SPRINGFIELD, MO 65806-1317
(417) 894-2183
Mailing address
1143 S GELVEN AVE, SPRINGFIELD, MO 65804-0613
(417) 894-2183

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013026557
MO

Other

Enumeration date
07/25/2013
Last updated
07/25/2013
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