Individual
DR. PETRA JO MCGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2104 S GARRISON AVE, CARTHAGE, MO 64836-3614
(417) 793-0620
Mailing address
PO BOX 129, CARTHAGE, MO 64836-0129
(417) 793-0620
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2016013712
MO
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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