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Individual

FONDA L. KAISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1427 THOMAS DR, SUITE 204, CAPE GIRARDEAU, MO 63701-2129
(573) 334-7995
(573) 335-8610
Mailing address
1427 THOMAS DR, SUITE 204, CAPE GIRARDEAU, MO 63701-2129
(573) 334-7995
(573) 335-8610

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002551
MO

Other

Enumeration date
07/17/2006
Last updated
07/08/2007
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