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Organization

THE COTTAGE THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JODI LYNNE DANCER LCSW (OWNER/PRACTITIONER)
(530) 598-8392
Entity
Organization

Contact information

Practice address
2916 US HIGHWAY 63, WILLOW SPRINGS, MO 65793-9289
(417) 616-3039
Mailing address
2916 US HIGHWAY 63, WILLOW SPRINGS, MO 65793-9289
(417) 616-3039

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/27/2024
Last updated
08/27/2024
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