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Individual

MRS. REBECCA JANE MACY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
221 MAPLE ST, NEOSHO, MO 64850
(417) 438-7805
Mailing address
10777 E HIGHWAY 86, NEOSHO, MO 64850-7051
(417) 438-7805
(417) 476-1081

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011041054
MO

Other

Enumeration date
03/16/2012
Last updated
02/18/2013
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