Individual
KENDRA SHOGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3050 S NATIONAL AVE STE 104, SPRINGFIELD, MO 65804-4242
(417) 597-4572
Mailing address
3050 S NATIONAL AVE STE 104, SPRINGFIELD, MO 65804-4242
(417) 597-4572
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/18/2014
Last updated
11/20/2014
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