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Individual

MS. LYLENE DOLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
7750 CLAYTON RD, SAINT LOUIS, MO 63117-1353
(314) 863-3365
(314) 863-4914
Mailing address
4116 PARK HILL CT, SAINT LOUIS, MO 63125-3839
(314) 863-3365
(314) 863-4914

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000506
MO

Other

Enumeration date
03/17/2007
Last updated
07/08/2007
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