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Organization

MCAULEY COUNSELING SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICTORIA M INCRIVAGLIA MSW (ASSISTANT DIRECTOR)
(417) 823-0498
Entity
Organization

Contact information

Practice address
2200 E SUNSHINE ST, SUITE 334, SPRINGFIELD, MO 65804-1819
(417) 823-0498
(417) 889-5289
Mailing address
2200 E SUNSHINE ST, SUITE 201, SPRINGFIELD, MO 65804-1819
(417) 823-0498
(417) 889-5289

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1041C0700X
Clinical Social Worker

Other

Enumeration date
04/26/2006
Last updated
01/05/2008
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