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1104659382
JONATHAN ELAM
COLUMBIA, MO
NPI
1104659382
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MO 2024033737)
Enumeration Date
2024-08-22
Last Update Date
2024-08-22
Business Address
JONATHAN ELAM PLP
1000 W NIFONG BLVD BLDG 6
COLUMBIA, MO 65203-5615
Phone number: 844-853-8937
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Mailing Address
JONATHAN ELAM PLP
1800 COMMUNITY
CLINTON, MO 64735-8804
Phone number: 844-853-8937
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