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1043647605
GAIL R BLACK
JEFFERSON CITY, MO
NPI
1043647605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: MO 2013035383)
Enumeration Date
2013-09-27
Last Update Date
2015-11-12
Business Address
GAIL R BLACK LPC
2202 MARILYN DR
JEFFERSON CITY, MO 65109-0929
Phone number: 573-469-5263
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Mailing Address
GAIL R BLACK LPC
2202 MARILYN DR
JEFFERSON CITY, MO 65109-0929
Phone number: 573-469-5263
Copy
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