Individual
DR. JESSICA ASHLEY SERGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
600 E 5TH ST, FULTON, MO 65251-1753
(573) 592-2628
Mailing address
600 E 5TH ST, FULTON, MO 65251-1753
(573) 592-2628
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2010036635
MO
Other
Enumeration date
05/21/2012
Last updated
07/03/2013
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