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Individual

RUTH ANN WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, CASAC

Contact information

Practice address
214 CAMDEN ST, RICHLAND, MO 65555
(573) 330-5822
Mailing address
PO BOX 4318, WAYNESVILLE, MO 65583-4318
(573) 330-5822

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002165
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
498594654
MO
Enumeration date
04/17/2006
Last updated
09/18/2008
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