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Individual

BENJAMIN JOSEPH FAILOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSEC

Contact information

Practice address
154 FORREST DR, HANNIBAL, MO 63401-5511
(573) 221-2120
(573) 221-4380
Mailing address
154 FORREST DR, HANNIBAL, MO 63401-5511
(573) 221-2120
(573) 221-4380

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019039992
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2019039992
STATE OF MISSOURI
MO
Enumeration date
09/18/2007
Last updated
10/23/2019
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