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Individual

KEISHA FUENTEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 HOSPITAL RD, WAYNESVILLE, MO 65583-2634
(573) 937-9931
Mailing address
103 IRON CT, SAINT ROBERT, MO 65584-9518
(573) 937-9931

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2024011123
MO

Other

Enumeration date
04/14/2025
Last updated
04/14/2025
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