Individual
ANGELA DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3411 DIVISION DR, WEST PLAINS, MO 65775
(417) 257-9152
Mailing address
3411 DIVISION DR, WEST PLAINS, MO 65775-5789
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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