Individual
ABBY LYNN CASIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 E REPUBLIC RD, SPRINGFIELD, MO 65804-6527
(417) 569-3066
Mailing address
1525 E REPUBLIC RD STE A105, SPRINGFIELD, MO 65804-6521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2023048891
MO
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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