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Individual

CARTER ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1101 JAMISON ST, KIRKSVILLE, MO 63501-3943
(660) 665-1962
(660) 627-0642
Mailing address
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520
(660) 665-1962
(660) 665-3989

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2014004869
MO

Other

Enumeration date
10/07/2015
Last updated
10/07/2015
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