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Individual

MOLLY KAY SIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, LP

Contact information

Practice address
1300 E BRADFORD PKWY BLDG B, SPRINGFIELD, MO 65804-4264
(417) 761-5011
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5000
(417) 761-5065

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
103T00000X
Psychologist
Primary
2018007648
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
490046467
MO
Enumeration date
09/07/2017
Last updated
08/27/2025
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