Individual
CARON LEE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
400 WARD AVE REAR, CARUTHERSVILLE, MO 63830-1451
(573) 334-3486
(573) 334-3524
Mailing address
619 N BROADVIEW ST, CAPE GIRARDEAU, MO 63701-4313
(573) 334-3486
(573) 334-3524
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013005536
MO
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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