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Individual

MS. DIANN KAY PANEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
536 MAIN ST, CABOOL, MO 65689
(417) 962-4477
(417) 962-9049
Mailing address
PO BOX 967, CABOOL, MO 65689-0967
(417) 962-4477
(417) 962-9049

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
20000172217
MO

Other

Enumeration date
11/15/2006
Last updated
07/08/2007
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