Individual
GLORIA E. MIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.F.T.
Contact information
Practice address
2021 S WAVERLY AVE, SUITE 500, SPRINGFIELD, MO 65804-2414
(417) 889-6764
(417) 889-6627
Mailing address
2021 S WAVERLY AVE, SUITE 500, SPRINGFIELD, MO 65804-2414
(417) 889-6764
(417) 889-6627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
300047
MO
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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