Individual
NONNIE J FLAVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW/LCSW
Contact information
Practice address
117 N GARTH AVE, COLUMBIA, MO 65203
(573) 449-2581
(573) 449-2583
Mailing address
1600 S. HWY UU, COLUMBIA, MO 65205
(573) 445-0867
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001299
MO
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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