Individual
MRS. GINA CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
4304 S BEARFIELD RD, COLUMBIA, MO 65201-9557
(573) 874-8686
(573) 874-8608
Mailing address
4304 S BEARFIELD RD, COLUMBIA, MO 65201-9557
(573) 874-8686
(573) 874-8608
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2009004438
MO
Other
Enumeration date
01/17/2010
Last updated
01/17/2010
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