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Individual

DR. JOHN W DUBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD, LPC

Contact information

Practice address
619 N BROADVIEW ST, CAPE GIRARDEAU, MO 63701-4313
(573) 334-3486
(573) 334-3524
Mailing address
4954 STATE HIGHWAY KK, FRIEDHEIM, MO 63747-7423
(573) 788-2238

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2003011048
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
188428
BC/BS
01
5633815
FIRST HEALTH NETWORK
01
658396
HELATHLINK PPO/FREEDOM
Enumeration date
05/16/2006
Last updated
07/08/2007
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