Organization
RE-ENTRY TRANSITIONS COUNSELING, L.L.C.
Active
Organization
RE-ENTRY TRANSITIONS COUNSELING, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA MADDOX LAURIE M.ED., LCSW (OWNER/ SOLE MEMBER)
(573) 246-6000
Entity
Organization
Contact information
Practice address
500 MARKET ST STE 101, FULTON, MO 65251-2808
(573) 246-6000
Mailing address
500 MARKET ST STE 101, FULTON, MO 65251-2808
(573) 246-6000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
03/07/2019
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