Individual
JEREMY LEWIS DUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 W NIFONG BLVD, BUILDING 1 SUITE 1E, COLUMBIA, MO 65203-6804
(573) 886-8916
(573) 228-6703
Mailing address
601 W NIFONG BLVD, BUILDING 1 SUITE 1E, COLUMBIA, MO 65203-6804
(573) 886-8916
(573) 228-6703
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001004461
MO
Other
Enumeration date
10/03/2007
Last updated
04/03/2013
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