Individual
MRS. MARILYN DIANNE MACLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
SOUTH BYPASS AND JACKSON STREET, KENNETT, MO 63851
(573) 717-1776
Mailing address
708 S 4TH ST, HAYTI, MO 63851-1906
(573) 359-0312
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002469
MO
Other
Enumeration date
10/31/2006
Last updated
07/09/2007
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