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Individual

MRS. LISA DOYLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRADC, MA

Contact information

Practice address
3131 FREDERICK AVE STE 239, SAINT JOSEPH, MO 64506-2992
(816) 205-0082
Mailing address
156 S 4TH ST, COSBY, MO 64436-8174
(816) 205-0082
(816) 749-4061

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/23/2015
Last updated
02/04/2020
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