Individual
KIMBERLY CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 S GLENSTONE AVE, SUITE 3-100, SPRINGFIELD, MO 65804-0338
(417) 869-8911
Mailing address
1111 S GLENSTONE AVE, SUITE 3-100, SPRINGFIELD, MO 65804-0338
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2004014918
MO
103K00000X
Behavior Analyst
2016038827
MO
Other
Enumeration date
05/23/2016
Last updated
11/14/2018
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