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Individual

DR. RACHAEL MICHELLE SWOPES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1120 S SPRINGFIELD AVE, BOLIVAR, MO 65613-2512
(417) 326-7840
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 326-6000

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2013026819
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
138880112
MEDICARE TPAN
MO
05
1992848139
MO
Enumeration date
02/15/2007
Last updated
09/15/2015
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