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Individual

KRISTINE EILEEN COYLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
301 N 2ND ST STE C, ODESSA, MO 64076-1137
(816) 633-5921
(816) 633-7942
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
(660) 885-2393

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007027909
MO

Other

Enumeration date
09/19/2007
Last updated
06/09/2011
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