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Individual

MRS. ROBYN L JENNINGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
818 W CHAMP CLARK DR, BOWLING GREEN, MO 63334-2034
(573) 470-0478
(417) 944-1440
Mailing address
303 W DANIELS AVE, VANDALIA, MO 63382-1015
(573) 470-0478
(417) 944-1440

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2005024322
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1992868640
MO
Enumeration date
12/17/2006
Last updated
06/30/2010
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