Individual
DIANE MOBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
103 LESLIE LANE, PURDY, MO 65734-0414
(417) 461-4001
Mailing address
PO BOX 414, 103 LESLIE LANE, PURDY, MO 65734-0414
(417) 461-4001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2010018850
MO
Other
Enumeration date
06/30/2010
Last updated
02/05/2014
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