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Individual

MS. MARY ELISE TAGGART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, EDS, LPC

Contact information

Practice address
800 N PROVIDENCE RD, SUITE 200, COLUMBIA, MO 65203-4300
(573) 875-0503
(573) 875-0518
Mailing address
PO BOX 1367, COLUMBIA, MO 65205-1367
(573) 875-0503
(573) 875-0518

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2005006657
MO

Other

Enumeration date
10/01/2007
Last updated
10/01/2007
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