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Individual

CASEY HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
407 E RUSSELL AVE # 4A, WARRENSBURG, MO 64093-1242
(660) 747-2262
Mailing address
115 E GRANDRIVER ST, CLINTON, MO 64735-2115
(660) 492-0598

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary

Other

Enumeration date
08/12/2021
Last updated
08/12/2021
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