Individual
LEE ANN MCVAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E 5TH ST, FULTON, MO 65251-1753
(573) 592-2623
Mailing address
600 E 5TH ST, FULTON, MO 65251-1753
(573) 592-2623
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
200901485
MO
Other
Enumeration date
04/05/2010
Last updated
02/06/2014
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