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Individual

MR. ROBERT E. DALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A., L.P.C.

Contact information

Practice address
1011 OAK RIDGE CT, CAPE GIRARDEAU, MO 63701-1711
(573) 450-3494
Mailing address
1011 OAK RIDGE CT, CAPE GIRARDEAU, MO 63701-1711
(573) 450-3494

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2013011401
MO

Other

Enumeration date
04/24/2013
Last updated
04/24/2013
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