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Individual

CARL E DIPPEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCMFT

Contact information

Practice address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 347-3069
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 347-3069
(785) 825-0062

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2023003157
MO
106H00000X
Marriage & Family Therapist
236
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200434040A
KS
Enumeration date
07/12/2007
Last updated
02/08/2023
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