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Individual

ALBERTEIN GAYLE HETTINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1729 W BROADWAY STE 8, COLUMBIA, MO 65203-1190
(319) 239-5489
Mailing address
300 GIRAFFE CT, COLUMBIA, MO 65202-6270
(319) 239-5489

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2017044667
MO

Other

Enumeration date
01/11/2018
Last updated
01/11/2018
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