Individual
AUDRA BIERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E 5TH ST, FULTON, MO 65251-1793
(573) 592-2030
Mailing address
600 E 5TH ST, FULTON, MO 65251-1793
(573) 592-2030
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2022050056
MO
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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