Individual
STEPHANIE JUNE SOOTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 S MAIN ST STE B, FREDERICKTOWN, MO 63645-1451
(573) 222-0096
Mailing address
307 DELMAR ST, FREDERICKTOWN, MO 63645-1605
(573) 783-1779
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2024015520
MO
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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