Individual
MARY FRANCES TATKENHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1200 MARTIN ST UNIT 2, CUBA, MO 65453
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 890-8183
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2005030149
MO
Other
Enumeration date
02/05/2018
Last updated
05/14/2018
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