Individual
MRS. MIRANDA RACHEL HARRIS LIPSCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., P.L.P.C.
Contact information
Practice address
1531 E SUNSHINE ST, SUITE W-29, SPRINGFIELD, MO 65804-1240
(417) 887-9950
Mailing address
2222 S INGLEWOOD RD, SPRINGFIELD, MO 65804-2835
(417) 827-2878
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2012097391
MO
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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